Gastrointestinal endoscopy clinics of North America
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Gastrointest. Endosc. Clin. N. Am. · Oct 2008
ReviewHuman patient simulation and its role in endoscopic sedation training.
Patient simulation is now considered to be a valid method for the education and evaluation of providers of sedation. Using full-scale human simulators to provide a realistic setting, participants can acquire skills for patient monitoring, administration of sedation medications, and the recognition and management of critical events. Although obstacles to its implementation exist, it appears likely that simulation training will become an integral part of training for providers of procedural sedation.
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Gastrointest. Endosc. Clin. N. Am. · Oct 2008
ReviewPatient monitoring during gastrointestinal endoscopy: why, when, and how?
Patient monitoring is intended to reduce the risk of sedation-related cardiopulmonary complications. Physiological monitoring and visual assessment by a qualified individual should be routine during endoscopic procedures. Additionally, ventilatory monitoring should be considered for high-risk patients and those receiving sedation with propofol.
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The 21(st) century has witnessed burgeoning interest in airway management. Pertinent basic sciences are covered in numerous texts and lectures. ⋯ It serves as a primer for those interested in learning airway management skills. It does not replace extensive practice under the tutelage of expert airway managers.
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The role of sedation in endoscopic procedures has increased and so has the demand for advances in its administration. The pursuit of new agents or administration techniques and their study specific to endoscopic nonsurgical procedures is necessary to improve patient comfort and safety. The science of moderate and deep sedation specific to endoscopy is fledgling but approaching new horizons.
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Gastrointest. Endosc. Clin. N. Am. · Oct 2008
ReviewPropofol use by gastroenterologists-the European experience.
The administration of propofol as a sedative in gastrointestinal endoscopies became very popular in many European countries during the last years. Nevertheless there are huge regional differences in the way that the drug is used. Switzerland, the country with highest propagation of gastroenterologist guided propofol sedation, serves as a case study of its safe use in daily practice. The experiences of this spread are summarized in this article.