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Recent advances in control of sedation
- Source :
- Techniques in Gastrointestinal Endoscopy. 18:2-6
- Publication Year :
- 2016
- Publisher :
- Elsevier BV, 2016.
-
Abstract
- Procedural sedation is commonly employed in endoscopic procedures, and increasingly uses propofol. The use of propofol is commonly restricted to anesthesia providers, and this may increase the cost of care. Administration of propofol requires a special set of skills to deal with the variability of patient response and the consequences of improper dosing. This has stoked interest in the use of automated systems to reduce manpower costs associated with propofol. This article examines why propofol poses challenges for human control, and how various automated systems have been used to address these challenges. We examine target-controlled infusions, patient-controlled sedation, the SEDASYS System, and optimized ramp induction. The article emphasizes on how the various approaches deal with the range of variability in propofol response. No single system is capable of dealing with all patients without some human supervision and intervention.
- Subjects :
- medicine.medical_specialty
business.industry
Sedation
Control (management)
Gastroenterology
Human control
Patient response
03 medical and health sciences
0302 clinical medicine
030202 anesthesiology
Medicine
030211 gastroenterology & hepatology
Radiology, Nuclear Medicine and imaging
Dosing
medicine.symptom
business
Cost of care
Propofol
Intensive care medicine
medicine.drug
Subjects
Details
- ISSN :
- 10962883
- Volume :
- 18
- Database :
- OpenAIRE
- Journal :
- Techniques in Gastrointestinal Endoscopy
- Accession number :
- edsair.doi...........2e275ac9ba92d96bc7aa7a19c847b78f