Deep Sedation in High-risk Patients Undergoing Emergency Upper GI Endoscopy: A Retrospective Study Assessing Safety and Effectiveness.

IF 1.1 Q4 MEDICINE, RESEARCH & EXPERIMENTAL

Translational Medicine at UniSa Pub Date : 2024-12-26 eCollection Date: 2024-01-01 DOI:10.37825/2239-9747.1067

Martina Mariani, Romolo Villani, Anna De Simone, Simona Cotena, Rossella Pirolli, Manuela Nugnes, Silvio Canciello, Paolino Manganiello, Elena Santoriello, Francesca Schettino, Vincenzo Schettini, Giorgia Bruno, Raffaele Annunziata

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引用次数: 0

Abstract

Introduction: Emergency upper gastrointestinal (GI) endoscopy is often prolonged and complex, performed during high-risk conditions. These procedures can be affected by an increased risk for airway compromise. Scarce literature can be found providing guidance on anesthesiological conduct during upper GI endoscopy in Emergency.

Methods: This was a monocentric retrospective study conducted on 96 patients treated in the Emergency Gastroenterology Unit at AORN Cardarelli, between June and October 2023. Key features of moderate and deep sedation procedures were investigated.

Results: There was no statistically significant difference in the incidence of complications and respiratory depression between the patients receiving moderate sedation versus those treated with deep sedation.

Discussion: Adverse outcomes of sedation and analgesia during endoscopic procedures are rare, even during a deep state of sedation.

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对接受急诊上消化道内窥镜检查的高风险患者进行深度镇静：一项评估安全性和有效性的回顾性研究。

前言急诊上消化道（GI）内窥镜检查通常时间长且复杂，在高风险情况下进行。这些手术可能会增加气道受损的风险。在急诊上消化道内窥镜检查过程中提供麻醉指导的文献很少：这是一项单中心回顾性研究，研究对象是 2023 年 6 月至 10 月期间在 AORN Cardarelli 医院急诊消化内科接受治疗的 96 名患者。研究调查了中度和深度镇静程序的主要特征：结果：接受中度镇静的患者与接受深度镇静的患者在并发症和呼吸抑制的发生率上没有明显的统计学差异：讨论：内窥镜手术中镇静和镇痛的不良后果很少见，即使在深度镇静状态下也是如此。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Translational Medicine at UniSa MEDICINE, RESEARCH & EXPERIMENTAL-

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