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LIBRIS Formathandbok  (Information om MARC21)
FältnamnIndikatorerMetadata
00003848naa a2200385 4500
001oai:lup.lub.lu.se:7a60e6b9-973f-4bf4-af33-84d36b62d70e
003SwePub
008160401s2006 | |||||||||||000 ||eng|
024a https://lup.lub.lu.se/record/11365972 URI
024a https://doi.org/10.1055/s-2006-9253682 DOI
040 a (SwePub)lu
041 a engb eng
042 9 SwePub
072 7a art2 swepub-publicationtype
072 7a ref2 swepub-contenttype
100a Froehlich, F4 aut
2451 0a EPAGE Study Group. Current sedation and monitoring practice for colonoscopy: an international observational study (EPAGE)
264 1b Georg Thieme Verlag KG,c 2006
520 a Background and Study Aims: Sedation and monitoring practice during colonoscopy varies between centers and over time. Knowledge of current practice is needed to ensure quality of care and help focus future research. The objective of this study was to examine sedation and monitoring practice in endoscopy centers internationally. Patients and Methods: This observational study included consecutive patients referred for colonoscopy at 21 centers in 11 countries. Endoscopists reported sedation and monitoring practice, using a standard questionnaire for each patient. Results: 6004 patients were included in this study, of whom 53 % received conscious/moderate sedation during colonoscopy, 30 % received deep sedation, and 17 % received no sedation. Sedation agents most commonly used were midazolam (47 %) and opioids (33 %). Pulse oximetry was done during colonoscopy in 77 % of patients, blood pressure monitoring in 34 %, and electrocardiography in 24 %. Pulse oximetry was most commonly used for moderately sedated patients, while blood pressure monitoring and electrocardiography were used predominantly for deeply sedated patients. Sedation and monitoring use ranged from 0 % to 100 % between centers. Oxygen desaturation (≤ 85 %) occurred in 5 % of patients, of whom 80 % were moderately sedated. On average, three staff members were involved in procedures. An anesthesiologist was present during 27 % of colonoscopies, and during 85 % of colonoscopies using deep sedation. Conclusions: Internationally, sedation and monitoring practice during colonoscopy varied widely. Moderate sedation was the most common sedation method used and electronic monitoring was used in three-quarters of patients. Deep sedation tended to be more resource-intensive, implying a greater use of staff and monitoring.
650 7a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Radiologi och bildbehandling0 (SwePub)302082 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Radiology, Nuclear Medicine and Medical Imaging0 (SwePub)302082 hsv//eng
700a Harris, J K4 aut
700a Wietlisbach, V4 aut
700a Burnand, B4 aut
700a Vader, J-P4 aut
700a Gonvers, J-J4 aut
700a EPAGE Study Group, The4 aut
700a Fork, Thomasu Lund University,Lunds universitet,Diagnostisk radiologi, Malmö,Forskargrupper vid Lunds universitet,Radiology Diagnostics, Malmö,Lund University Research Groups4 aut0 (Swepub:lu)th0067fo
700a Benoni, Ceciliau Lund University,Lunds universitet,Enheten för kroniska inflammatoriska och degenerativa sjukdomar,Forskargrupper vid Lunds universitet,Chronic Inflammatory and Degenerative Diseases Research Unit,Lund University Research Groups4 aut0 (Swepub:lu)medf-cbe
700a al, et4 aut
710a Diagnostisk radiologi, Malmöb Forskargrupper vid Lunds universitet4 org
773t Endoscopyd : Georg Thieme Verlag KGg 38:5, s. 461-469q 38:5<461-469x 1438-8812x 0013-726X
856u http://dx.doi.org/10.1055/s-2006-925368y FULLTEXT
8564 8u https://lup.lub.lu.se/record/1136597
8564 8u https://doi.org/10.1055/s-2006-925368

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