About painless gastroscopy and treatment of adverse reactions.docVIP

 PAGE \* MERGEFORMAT 4 About painless gastroscopy and treatment of adverse reactions Gastroscopy is the current diagnosis and treatment of gastrointestinal diseases, an important tool. Current basically all over the county-level hospitals have launched a painless gastroscopy technology. However, before many patients have a fear of the inspection process is difficult inspected, with a decrease in painless gastroscopy nausea, vomiting, and have peace and comfort, enjoyment for the whole process less memory left to patients, so that the discomfort had become more easy for endoscopy patients, and secure, so that the number of inspection check more than previously. but painless gastroscopy, there are many adverse reactions, we summarize the experience in handling 120 cases, the results reported as follows: 1 Materials and Methods 1.1 General Information January 2010 to May outpatient gastroscopy examination 120 patients, aged 14 -76 years of age, no significant preoperative blood system, respiratory system and cardiovascular system diseases, weighing 40-85 kg. 1.2 Firstly, take supine, in the right upper limb to establish intravenous access, given the double-lumen oxygen nasal cannula, oxygen flow rate 3-5 L / min, patients loosen belts and maintain a quiet room, monitoring blood pressure and oxygen saturation, such as ECG abnormal, ECG, take left lateral position, left leg buckling, right leg straight, Zhu Huanzhe opening into the mouthpieces, bolus injection of fentanyl 0.2-0.3ug/Kg, followed by slow injection of propofol phenol 1-3mg/Kg, until patients lost consciousness, eyelash reflex, during this period, such as oxygen desaturation, the first increase the oxygen flow rate, after a minute painless gastroscopy, check after 30 minutes of observation with , sit without discomfort, then by the family or nursing care home or return to ward. 2 adverse reactions 2.1 of pain at the injection site and select the forearm vein of great vessels,