Gastrointestinal endoscopy
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Gastrointest. Endosc. · Apr 2009
Assessment of end-tidal carbon dioxide during pediatric and adult sedation for endoscopic procedures.
Pulse oximetry has become the standard of care during endoscopic procedures, despite the fact that significant alveolar hypoventilation may be undetected. ⋯ EtCO(2) contributes significantly to the prediction of events during endoscopy. A lower mean of EtCO(2), higher variability of EtCO(2), younger age, GA, and upper endoscopy increase the probability of an event.
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Gastrointest. Endosc. · Mar 2009
Randomized Controlled Trial Comparative StudyMidazolam with meperidine or fentanyl for colonoscopy: results of a randomized trial.
A combination of midazolam and opioid is usually used to achieve sedation and analgesia during colonoscopy. Two commonly used opioids are meperidine and fentanyl, but few studies have compared their efficacy. ⋯ The use of fentanyl in combination with low-dose midazolam results in significantly faster recovery from sedation compared with meperidine, without any apparent loss of analgesic effect.
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Gastrointest. Endosc. · Mar 2009
Randomized Controlled TrialCan wire-guided cannulation prevent post-ERCP pancreatitis? A prospective randomized trial.
Among the procedure-related factors associated with post-ERCP pancreatitis, selective cannulation of the common bile duct by insertion of a guidewire may be associated with fewer complications than conventional methods of cannulation with contrast injection to access the bile duct. However, the results of studies regarding the usefulness of wire-guided cannulation (WGC) are conflicting. ⋯ WGC is associated with a lower rate of post-ERCP pancreatitis. However, WGC may not prevent post-ERCP pancreatitis in patients with suspected SOD and unintentional PD guidewire cannulation.
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Gastrointest. Endosc. · Feb 2009
Cost-minimization analysis of jumbo reusable forceps versus disposable forceps in a high-volume ambulatory endoscopy center.
Endoscopists worldwide are faced with the challenge of choosing the most cost-effective and durable equipment. There are limited data comparing the 2 major options for endoscopic forceps: disposable and reusable. Disposable forceps are marketed as the cost-effective alternative to reusable forceps. ⋯ In a large-volume AEC, OJRF are vastly more durable than resusable forceps reported in prior studies and are vastly more cost-effective than disposable forceps. A longer study period would have only revealed more dramatic cost savings and durability.