1516 cases of painless endoscopy care experience.docVIP

 PAGE \* MERGEFORMAT 10 1516 cases of painless endoscopy care experience Keywords:: endoscopy; propofol; custody 【Abstract】 Objective To observe the effect of painless endoscopy and safety. Methods 1516 cases of patients with intravenous injection of propofol 1.5 ~ 4mg/kg and lidocaine mixture of 30 ~ 40mg after endoscopy and conduct multi-function monitoring. Results All patients were successfully carried out within 4 ~ 8min painless endoscopy, forgotten and satisfaction level of 100%, hypertension, coronary heart disease, arrhythmia and heart failure patients were successfully carried out an inspection, no change in condition. 5 cases of patients with respiratory inhibition, 100 cases of patients had oxygen saturation (SpO2) decreased, raising the lower jaw after the return to normal. Conclusion painless gastroscopy patients comfortable, safe, no pain. Keywords: gastroscope; propofol; custody Our hospital in November 2004 ~ November 2006 to carry out a total of 1516 cases of painless endoscopy times, were all successful, the patient no pain cases, the successful completion of inspection, these are as follows. 1 Data and methods 1.1 General information on 1516 cases of times, the men and 828 cases of times, female 688 cases of times, age 11 to 84 years, with an average of 41 years. 1107 cases of sub-case of conventional endoscopy indications, 409 cases of relative contraindications, including: 227 cases of patients with hypertension times, 125 cases of coronary heart disease times, 92 cases of heart failure times, old and infirm 70 cases times, bronchial asthma, 34 cases times, 12 cases of serious spinal deformity. 1.2 method of fasting 8h, trace recorded 12-lead ECG, take the left side lying position, nasal oxygen catheter (2 ~ 3L/min), home entrance mat, and fixed, open multi-function monitor, establish intravenous access, the slow intravenous injection propofol 1.5 ~ 4mg/kg (Propofol, 0.2g/20ml, Beijing