Propofol for pediatric gastroscopy examination of clinical observation and nursing care.doc

Propofol for pediatric gastroscopy examination of clinical observation and nursing care [Keywords:] propofol anesthesia care pediatric gastroscopy With the rapid development of digestive endoscopy and the quality of life, increased significantly, while a good move because the children can not actively cooperate with gastroscopy examination, inpatient or outpatient gastroenterology many parents of children are required to see the doctor for endoscopy and pain-free colonoscopy. gastroenterology in our hospital between 2006 and 2008, will no propofol in children suffering gastroscopy examination, and achieved satisfactory results, the report is as follows. 1 Clinical data 1.1 General Information Select January 2006 ~ September 2008 in my inpatient or outpatient treatment of pediatric patients, parents volunteer to the pain-free endoscopy and colonoscopy for 253 patients, 141 cases of male, female and 112 patients aged from 6 to 14 years old, all subjects had no anesthetic contraindication. 1.2 Methods 1.2.1 8h fast water before gastroscopy, colonoscopy bowel preparation the day of fasting breakfast parallel, endoscopy in children taking lateral position for the anesthesiologist, patients with endoscopic lithotomy position before or taken, establishment of intravenous access. nasal oxygen catheter, one port at the time of endoscopy into the patients mouth and oral cavity with the upper and lower teeth to bite with your mouth shut. 1.2.2 intravenous infusion of fentanyl by the anesthesiologist 0.05mg, about 3min after the intravenous injection of propofol. By 2mg/kg, 1min bolus is completed, loss of consciousness by the examiner after the inspection, endoscopy 3 ~ 8min checked, checked colonoscopy 10 ~ 30min, 7 ~ 10min away from the bed itself, 30min back ward or discharged. 1.2.3 line observed during gastroscopy detection of heart rate in children with respiratory frequency ?p ?p oxygen saturation, recording time and anesthesia in children with