Update on colonoscopy preparation, premedication and sedation.

نویسندگان

  • Jeffrey R Lewis
  • Lawrence B Cohen
چکیده

The advent of optical colonoscopy has enabled gastroenterologists to visualize the colonic mucosa. This procedure has since become the cornerstone of colon cancer screening programs. Clinicians and scientists have made great strides to fine-tune the technical aspects of this procedure and have also made important advances that allow for a more effective and safer colonoscopy. This article focuses on current research and expert opinion regarding colonoscopy preparation, premedication and sedation.

برای دانلود رایگان متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Comparison of the analgesic effect of intravenous paracetamol/midazolam and fentanyl in preparation

 Background: Although some patients can tolerate colonoscopy procedure using fentanyl/ midazolam without any sedation and analgesic requirements but some patients may require additional sedation with benzodiazepines. We performed the present study to compare the effect of paracetamol/midazolam with fentanyl/ midazolam. Methods: In a clinical trial, 96 patients aged 18 to 75 years old, ...

متن کامل

Ketamine versus alfentanil combined with propofol for sedation in colonoscopy procedures: a randomized prospective study.

BACKGROUND/AIMS Different drug combinations are used for sedation in colonoscopy procedures. A ketamine-propofol (ketofol) mixture provides effective sedation and has minimal adverse effects. Alfentanil also provides anesthesia for short surgical procedures by incremental injection as an adjunct. However, no study has investigated the use of ketofol compared with an opioid-propofol combination ...

متن کامل

Effect of audio and visual distraction on patients undergoing colonoscopy: a randomized controlled study

Background and study aims: Colonoscopy can cause anxiety and discomfort in patients. Sedation and analgesia as premedication can lead to complications in the elderly and those with comorbidities. This has led to an interest in the use of audio-visual distraction during the colonoscopy. We compared the effects of audio (AD) versus visual distraction (VD) in reducing discomfort and the need for s...

متن کامل

Comparing the effect of usual bowel preparation and sodium phosphates preparation ‎method on patient acceptance under colonoscopy ‎

Introduction: Colonoscopy is a method of endoscopy of lower gastrointestinal system which needs ‎proper colon preparation that allows proper assessment, diagnosis and treatment. There are different ‎methods of bowel preparation available. Therefore more research by critical nurses can result in ‎better care.‎ Objective: The aim of present study is to compare the routine metho...

متن کامل

Paired Comparison of Procedural Sequence in Same-day Bidirectional Endoscopy with Moderate Sedation and Carbon Dioxide Insufflation: A Prospective Observational Study

BACKGROUND/AIMS Same-day bidirectional endoscopy (BDE) is a commonly performed procedure, but the optimal sequence of the procedure with carbon dioxide insufflation is not well established. In this study, we investigated the optimal sequence for same-day BDE without polypectomy under moderate sedation and carbon dioxide insufflation in terms of sedation doses and colonoscopy performance. PATI...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

عنوان ژورنال:
  • Expert review of gastroenterology & hepatology

دوره 7 1  شماره 

صفحات  -

تاریخ انتشار 2013