Gastrointestinal endoscopy
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Gastrointest. Endosc. · Dec 2002
Quantitative assessment of psychomotor recovery after sedation and analgesia for outpatient EGD.
Sedation and analgesia are routinely used to improve patient tolerance for GI endoscopy. Currently, assessment of postprocedure recovery uses cardiovascular and respiratory parameters but not psychomotor function. The two aims of this study were to determine degree of psychomotor recovery after conscious sedation for endoscopy when patients meet established discharge criteria, and to identify a sensitive method of testing psychomotor recovery, and thereby provide meaningful predictions regarding the ability of patients to return to daily activities. ⋯ Psychomotor function remains significantly impaired when patients reach an Aldrete discharge score of 10. The Letter Cancellation test was most sensitive in detecting psychomotor impairment and recovery. Incorporating psychometric tests with current discharge criteria may identify patients who are better able to resume normal daily activities without supervision.
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Gastrointest. Endosc. · Nov 2002
Randomized Controlled Trial Comparative Study Clinical TrialPatient-controlled sedation versus intravenous sedation for colonoscopy in elderly patients: a prospective randomized controlled trial.
A prospective randomized trial was conducted to compare the safety, effectiveness, and patient acceptance of patient-controlled sedation and intravenous sedation for colonoscopy in a group of elderly patients undergoing outpatient colonoscopy. ⋯ Patient-controlled sedation appears to be safer than intravenous sedation, with comparable effectiveness and acceptance, in elderly patients undergoing elective outpatient colonoscopy.
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Gastrointest. Endosc. · Nov 2002
Practice Guideline GuidelineGuidelines for the use of deep sedation and anesthesia for GI endoscopy.
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Gastrointest. Endosc. · Oct 2002
Use of video and magnetic endoscope imaging for rating competence at colonoscopy: validation of a measurement tool.
Counting the number of procedures performed provides at best a crude measure of technical competence in colonoscopy. The aim of this study was to develop and validate a qualitative and a quantitative score for measuring technical competency in colonoscopy using videotape evaluation. ⋯ The video assessment tool described appears to measure technical competence at colonoscopy, although in its present form it lacks reliability. Refinement of the score may improve reliability and deserves further evaluation.