Gastrointestinal endoscopy
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Gastrointest. Endosc. · May 2002
Comparative Study Clinical TrialUnsedated upper endoscopy in children.
EGD is essential to the investigation and treatment of GI disorders in children. Although safe, EGD has the potential for complications, in particular cardiopulmonary abnormalities associated with intravenous sedation. EGD is often performed in adults without sedation. Unsedated EGD is occasionally performed in children but has not been subjected to study. This study assessed the safety, efficacy, and feasibility of unsedated EGD in children. ⋯ Unsedated EGD can be performed safely and successfully in children with good patient tolerance. There was a significant decrease in total procedure time for children who have unsedated EGD. Unsedated EGD should be considered a viable option for motivated children.
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Gastrointest. Endosc. · Mar 2002
Utilization of health care resources for low-risk patients with acute, nonvariceal upper GI hemorrhage: an historical cohort study.
Adults hospitalized with acute, nonvariceal upper GI hemorrhage can be accurately stratified according to their risk of subsequent adverse outcomes by using the Rockall score. Low-risk patients (Rockall score less-than-or-equal 2) may be candidates for early discharge. ⋯ The proportion of patients admitted with acute, nonvariceal, upper GI hemorrhage with Rockall Scores < or =2 was substantial. Adverse outcomes were rare. In contrast, the level of health care resource utilization appeared high. The Rockall score has potential as a clinically based concurrent decision rule to improve the quality of care by finding those patients less likely to require intensive health care services.
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Gastrointest. Endosc. · Jan 2002
Randomized Controlled Trial Comparative Study Clinical TrialPropofol compared with general anesthesia for pediatric GI endoscopy: is propofol better?
The objective of this study was to compare the efficacy and safety of propofol and general anesthesia in children undergoing elective GI endoscopy. ⋯ Propofol, administered by an anesthesiologist, is an excellent and safe intravenous anesthetic agent for pediatric GI endoscopy.
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Gastrointest. Endosc. · Jan 2002
Randomized Controlled Trial Comparative Study Clinical TrialRelaxation music decreases the dose of patient-controlled sedation during colonoscopy: a prospective randomized controlled trial.
A prospective randomized controlled trial was performed to test the hypotheses that music decreases the dose of sedative medication required for colonoscopy and that the combination of music and patient-controlled sedation improves patient acceptance of colonoscopy. ⋯ Music can decrease the dose of sedative medication required for colonoscopy. The combination of music and patient-controlled sedation was the best-accepted mode of sedation among 3 groups.