Conscious analgesia/sedation with remifentanil and propofol on the elderly patients undergoing gastroenterological endoscopic procedure
10.3760/cma.j.issn.1007-5232.2016.06.009
- VernacularTitle:瑞芬太尼复合丙泊酚清醒镇痛镇静技术在老年患者胃肠镜诊疗中的应用研究
- Author:
Erhua WANG
;
Dandan GUO
;
Can YANG
;
Xiaoping GU
;
Zhengliang MA
- Publication Type:Journal Article
- Keywords:
Analgesia;
Sedative;
Remifentanil;
Propofol;
Elderly people;
Gastroenterological endoscope
- From:
Chinese Journal of Digestive Endoscopy
2016;33(6):384-387
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the efficacy and safety of the conscious analgesia/sedation scheme with remifentanil and propofol on the elderly patients under gastroenterological endoscopic procedure. Methods Retrospective analysis was performed on 3 500 cases with remifentanil and small?dose propofol under gastroenterological endoscopic procedures, and the procedure achievement, effects of the narcotic, adverse reactions and satisfactory results were summarized. Results All procedures were completed successfully. The ratio of the patients whose intended sedation depth arrived at referential induction was up to 91?3%(3 196/3 500).Hemodynamic change was slight and almost all patients could open eyes in no time, with short hospital stay. No serious adverse effects were observed except several patients complaining about mild bucking, abdominal distension and stomachache. The degree of patients′ satisfaction was high. Conclusion The conscious analgesia/sedation scheme with remifentanil and propofol can be effectively and safely used on gastroenterological endoscopic procedure among the elderly, but precise monitor and timely treatment of complications are still needed.
