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[Role of pulse oximetric monitoring during gastrointestinal endoscopy. Prospective multicenter study of the Gastroenterology Working Group of the Veszprém Regional Committee of the Hungarian Academy of Sciences (VEAB)].
- Source :
-
Orvosi hetilap [Orv Hetil] 2013 May 26; Vol. 154 (21), pp. 825-33. - Publication Year :
- 2013
-
Abstract
- Introduction: Recent guidelines recommend routine pulse oximetric monitoring during endoscopy, however, this has not been the common practice yet in the majority of the local endoscopic units.<br />Aims: To draw attention to the importance of the routine use of pulse oximetric recording during endoscopy.<br />Method: A prospective multicenter study was performed with the participation of 11 gastrointestinal endoscopic units. Data of pulse oximetric monitoring of 1249 endoscopic investigations were evaluated, of which 1183 were carried out with and 66 without sedation.<br />Results: Oxygen saturation less than 90% was observed in 239 cases corresponding to 19.1% of all cases. It occurred most often during endoscopic retrograde cholangiopancreatography (31.2%) and proximal enteroscopy (20%). Procedure-related risk factors proved to be the long duration of the investigation, premedication with pethidine (31.3%), and combined sedoanalgesia with pethidine and midazolam (34.38%). The age over 60 years, obesity, consumption of hypnotics or sedatives, severe cardiopulmonary state, and risk factor scores III and IV of the American Society of Anestwere found as patient-related risk factors.<br />Conclusion: To increase the safety of patients undergoing endoscopic investigation, pulse oximeter and oxygen supplementation should be the standard requirement in all of the endoscopic investigation rooms. Pulse oximetric monitoring is advised routinely during endoscopy with special regard to the risk factors of hypoxemia.
- Subjects :
- Adjuvants, Anesthesia administration & dosage
Adjuvants, Anesthesia adverse effects
Age Factors
Aged
Aged, 80 and over
Cardiovascular Diseases complications
Cholangiopancreatography, Endoscopic Retrograde adverse effects
Cholangiopancreatography, Endoscopic Retrograde statistics & numerical data
Endoscopy, Gastrointestinal adverse effects
Endoscopy, Gastrointestinal statistics & numerical data
Female
Humans
Hungary
Hypnotics and Sedatives administration & dosage
Hypnotics and Sedatives adverse effects
Male
Meperidine administration & dosage
Meperidine adverse effects
Midazolam administration & dosage
Midazolam adverse effects
Middle Aged
Obesity complications
Operative Time
Premedication methods
Prospective Studies
Risk Factors
Endoscopy, Digestive System adverse effects
Endoscopy, Digestive System statistics & numerical data
Hypoxia etiology
Hypoxia prevention & control
Monitoring, Physiologic methods
Oximetry
Oxygen administration & dosage
Subjects
Details
- Language :
- Hungarian
- ISSN :
- 0030-6002
- Volume :
- 154
- Issue :
- 21
- Database :
- MEDLINE
- Journal :
- Orvosi hetilap
- Publication Type :
- Academic Journal
- Accession number :
- 23692877
- Full Text :
- https://doi.org/10.1556/OH.2013.29613