MODERN SEDATION ASPECTS AT ENDOSCOPIC EXAMINATION
Journal: JOURNAL OF NEW MEDICAL TECHNOLOGIES. EJOURNAL ( Volume 10 № 1 , 2016)
Abstract and keywords
Abstract:
The article highlights the issue of improving the quality of endoscopy in patients are treated at the department of anesthesiology and intensive care unit. Endoscopic study was the bronchoscopy, the gastroscopy, the colonoscopy. It was revealed the necessity of sedation during endoscopy in patients in the intensive care unit. The authors analyzed the characteristics of the use of drugs for sedation during endoscopic study. Clinical evaluation of their impact on the psycho-emotional status of the patient was carried out. The substantiation of the advantages of the Dexmedetomidine (Deksdor) as sedation analgesia over other drugs was proven. Controlled sedation with the Deksdor allows to stop pain with the absence of central nervous system depression, respiratory depression and danger emotional pain perception. After the sedation and endoscopy, the vegetative changes do not require medical treatment due to the subsequent tendency to vegetative equilibrium in post-endoscopic period. Based on the obtained data, it was proven the clinical efficacy of the proposed method of sedation in endoscopic studies, the relationship with the improvement of the current study, a decrease in the number and severity of complications.

Keywords:
endoscopy, sedation, intensive care unit, the Deksdor
References

1. Kazantsev D.A., Popov A.S., Ekstrem A.V. Ob´´ektivizatsiya bolevogo sindroma s tsel´yu sozdaniya individual´nogo protokola posleoperatsionnogo obezbolivaniya v anesteziologii i reanimatologii. Sovremennye problemy nauki i obrazovaniya. [elektronnyy zhurnal]. 2015. № 4. URL: www.science-education.ru/127-20898.

2. Kazantsev D.A., Ekstrem A.V., Popov A.S. Vnedrenie protokolov lecheniya posleoperatsionnoy boli v Volgogradskoy oblasti. Vestnik Volgogradskogo gosudarstvennogo meditsinskogo universiteta. 2010. № 1. S. 67-69.

3. Kitiashvili I.Z. Perioperatsionnye izmeneniya pokazateley gomeostaza pod vliyaniem opera-tsiy i anestezii s primeneniem ksenona. Dissertatsiya na soiskanie uchenoy stepeni doktora meditsin-skikh nauk. GU «Nauchno-issledovatel´skiy institut obshchey reanimatologii RAMN». Moskva, 2006.

4. Kitiashvili I.Z., Vlasov A.S., Parfenov L.L., Min´kovetskiy V.D., Zaklyakov K.K. Vliyanie razlichnykh metodov anestezii na endokrinno-metabolicheskoe zveno khirurgicheskogo stress-otveta pri gisterektomii. Regionarnaya anesteziya i lechenie ostroy boli. 2010. T. 4. № 3. S. 18-26.

5. Kitiashvili I.Z., Osipova N.A., Vetsheva M.S. Puti povysheniya effektivnosti total´noy vnutrivennoy anestezii. Vestnik intensivnoy terapii. 2000. № 4. S. 64.

6. Popov A.S., Ekstrem A.V., Kazantsev D.A. Posleoperatsionnaya anal´geziya v komplekse aneste-ziologicheskogo posobiya na osnove ob´´ektivizatsii perioperatsionnoy otsenki boli. Fundamental´nye issledovaniya. 2015. № 1-9. S. 1907-1910.

7. Ekstrem A.V., Popov A.S. Profilaktika boli v blizhayshem posleoperatsionnom periode s is-pol´zovaniem nesteroidnogo protivovospalitel´nogo preparata «Ksefokam». Vestnik Volgogradskogo gosudarstvennogo meditsinskogo universiteta. 2004. № 12. S. 46-50.

8. Jakob S.M., Ruokonen E., Grounds R.M. et al. Dexmedetomidine vs midazolam or propofol for seda-tion during prolonged mechanical ventilation: two randomized controlled trials. JAMA. 2012. V. 307. P. 1151-1160.

9. Ruokonen E., Parviainen I., Jakob S.M. et al. Dexmedetomidine versus propofol/midazolam for long-term sedation during mechanical ventilation. Intensive Care Med. 2009. V. 35. P. 282-290.

10. Venn R.M., Karol M.D., Grounds R.M. Pharmacokinetics of dexmedetomidine infusions for sedation of postoperative patients requiring intensive care. Br. J. Anaesth. 2002. V. 88. P. 669-675.

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