Gastroscopy intravenous anesthesia and nursing observation.docVIP

 PAGE \* MERGEFORMAT 7 Gastroscopy intravenous anesthesia and nursing observation [Keywords:] intravenous anesthesia, endoscopy, care Endoscopic treatment is commonly used method of gastrointestinal disease, but conventional endoscopy can cause nausea, vomiting, cough, sore throat pain and discomfort, patients bear a greater pain, have led to many patients fear this check, and even refuse the inspection. the patient discomfort, difficulty with or can not bear examination, the doctor brought the operation and accurate diagnosis of many difficulties, delays in treatment time. Therefore, endoscopy and sedation analgesia treatment is necessary . moderate sedation relaxation of the gastrointestinal tract can improve patient tolerance of endoscopy and compliance. Propofol is a new, rapid, short-acting intravenous anesthetics, has been widely used in short intensive surgery, check the diagnosis and treatment [1]. our hospital from May 2007 to November 2008 using intravenous fentanyl + propofol 150 cases of drug-line gastroscopy patients, no pain, quickly regained consciousness after surgery, the effect satisfaction. now its experience of nursing observation are summarized below. Materials and Methods 1. General Information The group of 150 patients, 85 patients were male, female 65 cases, aged 16 to 75 years. Gastroscopy in all patients prior line for ECG and laboratory examination room, with severe heart and lung disease and drug allergies otherwise. 2. Item prepared By EG 250WR5 electronic endoscopy, biopsy forceps, fentanyl, propofol, atropine, lidocaine hydrochloride mortar, first aid items, oxygen, simple breathing bag, oxygen monitor ECG and so on. 3. Methods Understanding of medical history before anesthesia, the current general condition, medication condition, results of preoperative, anesthesia before the talks and sign informed consent. Inserted mirror oral lidocaine 10 minutes before the glue, intramuscular atropine 0.5 mg, open i