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
{"title":"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。","authors":"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","doi":"10.37825/2239-9747.1067","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Discussion: </strong>Adverse outcomes of sedation and analgesia during endoscopic procedures are rare, even during a deep state of sedation.</p>","PeriodicalId":54170,"journal":{"name":"Translational Medicine at UniSa","volume":"26 2","pages":"164-168"},"PeriodicalIF":1.1000,"publicationDate":"2024-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11960772/pdf/","citationCount":"0","resultStr":"{\"title\":\"Deep Sedation in High-risk Patients Undergoing Emergency Upper GI Endoscopy: A Retrospective Study Assessing Safety and Effectiveness.\",\"authors\":\"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\",\"doi\":\"10.37825/2239-9747.1067\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Introduction: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Discussion: </strong>Adverse outcomes of sedation and analgesia during endoscopic procedures are rare, even during a deep state of sedation.</p>\",\"PeriodicalId\":54170,\"journal\":{\"name\":\"Translational Medicine at UniSa\",\"volume\":\"26 2\",\"pages\":\"164-168\"},\"PeriodicalIF\":1.1000,\"publicationDate\":\"2024-12-26\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11960772/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Translational Medicine at UniSa\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.37825/2239-9747.1067\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2024/1/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q4\",\"JCRName\":\"MEDICINE, RESEARCH & EXPERIMENTAL\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Translational Medicine at UniSa","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.37825/2239-9747.1067","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/1/1 0:00:00","PubModel":"eCollection","JCR":"Q4","JCRName":"MEDICINE, RESEARCH & EXPERIMENTAL","Score":null,"Total":0}
Deep Sedation in High-risk Patients Undergoing Emergency Upper GI Endoscopy: A Retrospective Study Assessing Safety and Effectiveness.
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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