Gastroenterology nursing : the official journal of the Society of Gastroenterology Nurses and Associates
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Providing nutrition to patients is a vitally important aspect of care. Enterally feeding even critically ill patients remains the method of choice for most prescribers; however, the decision to provide nutrition via the enteral route comes with the added concern of bronchopulmonary aspiration as a complication. The majority of the literature and research on enteral feeding is out of date and focuses primarily on ways to identify aspiration, rather then preventing it. ⋯ These recommendations are synthesized in this article in an effort to improve the quality and safety of administration of enteral nutrition to critically ill patients. However, this compiled information is limited to the current resources. More research should be done to decrease the risk of aspiration in this delicate population.
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Intravenous sedation is routinely administered for endoscopic examinations to help alleviate patient anxiety and discomfort. The goal of moderate sedation is to provide patient comfort to facilitate the completion of the procedure. ⋯ Propofol is a rapid acting sedative-hypnotic that produces the desired level of consciousness without the residual sedative effect that often persists with the use of benzodiazepines and analgesics. This article reviews current literature regarding the use of propofol for sedation of patients in the endoscopy setting, and highlights the trends in research that may impact future nursing practice.
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Practice Guideline Guideline
SGNA position statement. Statement on the use of sedation and analgesia in the gastrointestinal endoscopy setting.
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Anesthesiologists have recognized the increased risk inherent in obstructive sleep apnea patients, yet studies on sleep apnea and endoscope procedures are limited. As more procedures are being done in clinics, ambulatory care centers, and procedures labs, nurses are now performing moderate sedation on this high risk patient population with little information to guide them. ⋯ A resource list of agencies, internet sites, and references are included. This review of obstructive sleep apnea can assist gastroenterology nurses administering sedation to better recognize and monitor this high risk group.