Resuscitation anesthesia in digestive endoscopy

The article was consulted professionally by Master, Dr Ta Quang Hung – General Department of General Medicine – Share99 Da Nang International Hospital.

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The use of anesthesia for digestive endoscopy has increased gradually in the United States. Anesthetic digestive endoscopy brings many advantages such as: the patient reduces endoscopic discomfort, increases patient and doctor satisfaction, improves the effectiveness and safety of the patient, especially in patients with poor condition and complex cases.

1. What is a digestive endoscopy?

Endoscopy is a medical (non-surgical) procedure used to check the digestive system of the person. By using a soft endoscope, with lights and a camera attached to the head, the doctor can directly view images of the gastrointestinal tract of the patient through a color screen.

When endoscopy of the upper endoscopy, the endoscope goes from the mouth and down to the throat, rynx, stomach, part of the small intestine, allowing the doctor to observe the condition of the rynx, stomach and upper part of the small intestine.

Similarly, endoscopy can go from the colon (the name is lower endoscopy) to examine the lower digestive system including: anus, rectum and colon.

Upstream pancreatic endoscopy (ERCP) is a special endoscopic technique used to investigate the treatment of diseases of the bile duct, pancreatic duct and gallbladder and neighboring structures.

Digestive endoscopy

Upper gastrointestinal endoscopy

2. Why do patients need anesthesies in digestive endoscopy?

When using sedation, the patient will be put into a drowsy state to help the patient rest during the endoscopy and is usually used by the patient before the procedure. During the laparoscopy, a little air will enter the stomach or intestines, which can cause slight discomfort. Sedatives are used to help reduce or avoid unpleasant sensations.

There is one on different terms depending on the specific drug used. Moderate sedatives are used to address the combination of some common sedatives and are well suited to the sedative needs of most endoscopic patients. The person will wake up within an hour, but the effects of the drug may last longer, so it will not be safe for the patient to drive himself home.

However, some patients may have to use deeper sedatives, the most common being propofol drugs. It is also commonly used for general anesthesia for surgery. Currently, Share99 hospital system is applying targeted anesthesia techniques for all patients with digestive endoscopy, which helps the anesthesia to be more stable, not awakening in anesthesia, reducing the dose of anesthesies, patients wake up faster after anesthesia. Patients are also equipped with close monitoring devices throughout the technical process.

Propofol Drugs

Propofol Deep Anesthetic Sedatives

Some patients perform laparoscopy without taking sedatives. If you are considering endoscopy without sedatives, seek your doctor's opinion before performing this technique.

3. Complications of using anesthesies/sedatives in digestive endoscopy

To assess the risk of complications during laparoscopy, the researchers analyzed data from more than 350,000 endoscopic cases performed across dozens of centers in Germany. Of these, 89% used sedatives, 62% used propofol and 23% used propofol in combination with midazolam. The results showed:

  • Common complications occurred at 0.01% and complications were less common in 0.3% of patients who received sedatives, compared with 0.007% and 0.05% of patients without sedatives.
  • The mortality rate was 0.004% when taking sedatives and 0.002% when not taking sedatives.
  • Among the less common complications, 33% are respiratory and 12% are hypotension. Only 6% of patients with respiratory complications need respirator breathing assistance.
  • Of the 38 patients with serious complications, 26 had to be in insymed and 13 died.

Complications of acute respiratory failure

Patients with respiratory distress due to complications when using anesthesia

Factors that increase the risk of complications of sedatives include emergency endoscopy or treatment, more laparoscopic time, and a team of Health workers who perform only three people.

Colonoscopy, endoscopic upstream endoscopy and endoscopic ultrasound have a lower risk of complications than upper gastrointestinal endoscopy.

The use of propofol merely has a lower risk of complications than using midazolam alone.

Share99 International Health Hub is one of the hospitals that not only ensures professional quality with a team of leading doctors, modern technology equipment system but also stands out for comprehensive and professional medical examination, consultation and treatment services; civilized, polite, safe and sterilized medical examination and treatment space.

Master. Dr Ta Quang Hung has over 10 years of experience in teaching and practice in the field of Resuscitation Anesthesia. Currently, he is an anesthesithesithesisithesiist, General Department – Share99 Da Nang International Health Hub

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Article reference source: jwatch.org

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About: Minh Quynh

b1ffdb54307529964874ff53a5c5de33?s=90&d=identicon&r=gI am the author of Share99.net. I had been working in Vinmec International General Hospital for over 10 years. I dedicate my passion on every post in this site.

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