优化围手术期麻醉策略,确保无痛胃肠道内窥镜诊断和治疗的安全性和高质量

Le Xu, Yanhong Li, Hong Zheng, Rurong Wang
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摘要

随着镇静技术的进步,无痛胃肠道内窥镜检查已从诊断扩展到手术。本研究旨在探索提高患者满意度、改善安全性和减少并发症的策略。除了美国麻醉医师协会的分类外,量身定制术前评估也至关重要,尤其是针对老年人和儿童群体。整合量表和床旁检测(POCT)可提供精确的基线评估。在对患者进行准确评估后,可通过改进药物选择和加强围术期监测来优化麻醉策略。虽然术后随访至关重要,但该领域的现有研究十分有限。本文概述了当前的无痛胃肠道内窥镜技术,强调了 POCT 的建立、个性化监测和优化麻醉策略对患者预后的积极影响。
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Optimizing perioperative anesthesia strategies for safety and high-quality during painless gastrointestinal endoscopy diagnosis and treatment

With advancements in sedation techniques,painless gastrointestinal endoscopy has expanded from a diagnostic role to surgeries. This study aims to explore strategies for enhancing patient satisfaction, improving safety, and reducing complications. Tailoring preoperative assessments beyond American Society of Anesthesiologists classification is crucial, especially for the elderly and pediatric populations. Integration of scales and point-of-care testing (POCT) provides a precise baseline evaluations. Optimizing anesthetic strategies through improved drug selection and enhanced perioperative monitoring follows accurate patient evaluations. While post-procedural follow-up is essential, existing studies in this area are limited. This article outlines current painless gastrointestinal endoscopy technology, emphasizing POCT establishment, personalized monitoring, and optimized anesthesia strategies for a positive impact on patient outcomes.

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