Propofol intravenous anesthesia painless gastroscopy in clinical observation.docVIP

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Propofol intravenous anesthesia painless gastroscopy in clinical observation.doc

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Propofol intravenous anesthesia painless gastroscopy in clinical observation

Propofol intravenous anesthesia painless gastroscopy in clinical observation [Paper Keywords] propofol; painless gastroscopy; clinical observation [Abstract] Objective: To evaluate the effects of propofol during gastrointestinal endoscopy to implement the clinical value of pain and experience. Methods: ASA Ⅰ ~ Ⅱ grade in patients with 220 cases, from full-time anesthesiologist slow intravenous injection of propofol 1.5 ~ 2.0 mg / kg, to be OK after loss of eyelash reflex in patients with gastrointestinal endoscopy, the inspection process, as appropriate, an additional dosage of propofol. Full monitoring of BP, HR, SpO2, records, such as restlessness, cough, respiratory depression and other adverse reactions and complications in patients regained consciousness when asked about the extent and referral rate of forgetting. Results: 220 patients were successfully completed during gastrointestinal endoscopy; inspection process hemodynamics in patients with stable and less adverse reactions and complications, only a small number of respiratory depression occurred (SpO2 decrease), arrhythmia, etc., after returning to normal after treatment; all patients were awake within 6 min, and no memory of the process of gastrointestinal endoscopy, and consciously euphoric comfortable, happy once again to accept the implementation of painless propofol during gastrointestinal endoscopy accounted for 99.5%. Conclusion: Propofol intravenous anesthesia implementation painless gastrointestinal endoscopy is a safe, comfortable, effective method worthy of clinical application. Pre understanding of history and physical examination, and close observation of patients can reduce the adverse reactions to avoid complications. Propofol is a new short-acting intravenous anesthetics [1], widely used in clinical anesthesia and adjuvant therapy for patients in the ICU, studies have shown that propofol can inhibit somatic nociceptive stimulation of the afferent input on the body are certain