By Peter B. Cotton
Crucial new identify within the complex Digestive Endoscopy seriesAdvanced Digestive Endoscopy: perform & safeguard offers a realistic handbook on tips on how to practice ideas adequately and successfully so that it will maximise worth, and to minimize dangers. truly based, it covers education, endoscopy and imaging gear, an infection keep watch over, sufferer guidance and tracking, problems and the way to prevent and take care of them. increasing at the content material of Peter Cotton’s best-selling sensible Gastrointestinal Endoscopy, this instructive quantity includes details and instructions on all facets of the perform of endoscopy, and is a perfect spouse for either the trainee and the skilled endoscopist.Key gains include:Written through the major foreign names in endoscopy textual content has been expertly edited by way of Peter Cotton right into a succinct and instructive structure offered briefly paragraphs based with headings, subheadings and bullet issues Richly illustrated all through with full-color photos
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Extra info for Advanced Digestive Endoscopy: Practice and Safety
However, quite the opposite has been found. Cohen et al. have employed a mixed sedation protocol for ambulatory upper endoscopy and colonoscopy . The opioid and midazolam were administered by bolus at the beginning of the procedure, and propofol then was administered in intravenous boluses as determined by patient comfort level and physiologic parameters. A total of 100 subjects undergoing either EGD or colonoscopy received the mixed sedation regimen. Of the 729 assessments of the level of sedation, 77% were minimal sedation, 21% were moderate sedation and only 2% were in the deep sedation range.
3 Anonymous (2001). Guidelines for the design and construction of hospitals and health care facilities. American Institute of Architecture, Washington, DC. 4 Ganz RA. Regulation certification issues. Gastrointest Endosc Clin N Am 2002; 12: 205–14. 5 Burton D, Ott BJ, Gostout CJ, DiMagno EP. Approach to designing a gastrointestinal endoscopy unit. Gastrointest Endosc Clin N Am 1993; 3: 525–40. 6 Mulder CJJ. Guidelines for designing an endoscopy unit: Report of the Dutch Society of Gastroenterologists.
15 Wehrmann T, Kokapick S, Lembcke B et al. Efficacy and safety of intravenous propofol sedation for routine ERCP: a prospective, controlled study. Gastrointest Endosc 1999; 49: 677–83. 16 Ulmer BJ, Hansen JJ, Overly CA et al. Propofol versus midazolam/fentanyl for outpatient colonoscopy: administration by nurses supervised by endoscopists. Clin Gastroenterol Hepatol 2003; 1: 425–3. 17 Vargo JJ, Zuccaro G, Dumot J et al. Gastroenterologist-administered propofol versus meperidine and midazolam for ERCP and EUS: A randomized, controlled trial with cost effectiveness analysis.
Advanced Digestive Endoscopy: Practice and Safety by Peter B. Cotton