Abstract
A new computer-assisted colonoscope, controlled using a handheld device, showed excellent cecal intubation rates during screening examinations, with sedation required in only ∼5% of screenees. Further clinical and comparative studies are warranted.Am J Gastroenterol advance online publication, 8 Ma...
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PMID: 21386833
PDF is available here.
Abstract
The detection and diagnosis of neuroendocrine tumors (NETs) is challenging. Endoscopic ultrasonography (EUS) has a significant role in the detection of NETs suspected from clinical manifestations or imaging techniques, as well as in their precise localization and cytological confirmation using EUS-Fi...
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PMID: 21434714
PDF is available here.
Abstract
Supplmental oxygen is routinely given via nasal cannula (NC) to patients undergoing moderate sedation for endoscopy. Some patients complain of profuse rhinorrhea and⁄or sneezing after the procedure, which results in additional medical costs and patient dissatisfaction.
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PMID: 21321676
PDF is available here.
Abstract
To retrospectively describe the performance of ultrasound guided thoracic epidural anaesthesia under sedation for anaesthesia management of open pyloromyotomy.
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PMID: 21091828
PDF is available here.
Amy W AW Lasek,
Jana J Lim,
Christopher L CL Kliethermes,
Karen H KH Berger,
Geoff G Joslyn,
Gerry G Brush,
Liquan L Xue,
Margaret M Robertson,
Monica S MS Moore,
Karen K Vranizan,
Stephan W SW Morris,
Marc A MA Schuckit,
Raymond L RL White and
Ulrike U Heberlein
Abstract
We have determined that Alk is associated with altered behavioral responses to ethanol in the fruit fly Drosophila melanogaster, in mice, and in humans. Mutant flies containing transposon insertions in dAlk demonstrate increased resistance to the sedating effect of ethanol. Database analyses reveale...
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PMID: 21799923
PDF is available here.
Abstract
Dexmedetomidine (DEX; Precedex) is an alpha-2 adrenergic receptor agonist that produces anxiolysis and sleep-like sedation without narcosis or respiratory depression and has relatively few cardiovascular side effects. Given its favorable sedative properties combined with its limited effects on hemod...
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PMID: 20959781
PDF is available here.
Abstract
Sedation for colonoscopy discomfort imposes a recovery-time burden on patients. The water method permitted 52% of patients accepting on-demand sedation to complete colonoscopy without sedation. On-site and at-home recovery times were not reported.
To confirm the benef...
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PMID: 21184876
PDF is available here.
Abstract
To determine whether sublingual detomidine gel administration to horses would be effective in providing an appropriate degree of sedation and restraint to facilitate completion of veterinary and husbandry procedures under field conditions.
Multicenter, prospective, randomized, blinded, placebo-contr...
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PMID: 21155687
PDF is available here.
Abstract
To determine the relationship between the number of delirium days experienced by intensive care patients and mortality, ventilation time, and intensive care unit stay.
Prospective cohort analysis.
Patients from 68 intensive care units in five countries.
Three hundred fifty-four medical and surgical...
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PMID: 20838332
PDF is available here.
Abstract
To determine the effects of IM administration of acepromazine, hydromorphone, or the acepromazine-hydromorphone combination on degree of sedation in clinically normal dogs and to compare 2 sedation scoring techniques.
Prospective, randomized, blinded, controlled trial. Animals-46 random-source dogs....
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PMID: 21073386
PDF is available here.
Abstract
There was a nonsignificant trend toward lower total propofol doses with PCS relative to EPCS (medians 1.36 versus 1.60 mg/kg, respectively; median difference -0.15 mg/kg; 95% confidence interval of the difference -0.33 to 0.05 mg/kg; P=.14). Adverse events, requirement for treatment of adverse event...
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PMID: 20538368
PDF is available here.
Abstract
We review the pathophysiologic changes associated with major thermal injury in children, the options available for sedation and analgesia for wound care procedures in these children and our institutional guidelines for procedural sedation....
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PMID: 20977331
PDF is available here.
Abstract
Pediatric emergency physicians use various techniques and medications when performing procedural sedation and analgesia. The goals of our study were to assess US pediatric emergency medicine subspecialists and fellows (PEMSSFs) for individual practice variation and to evaluate (1) the use of supplem...
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PMID: 20881903
PDF is available here.
Abstract
Propofol is progressively replacing benzodiazepines for sedation during endoscopy, even when the sedation is administered by non-anesthesiologists. Propofol ensures a more rapid induction of sedation and recovery and, in certain conditions, higher patient satisfaction and improved quality of endosco...
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PMID: 20939396
PDF is available here.
Abstract
We organized a training program for oral fiber optic intubation (FOI) under conscious sedation. The efficacy of the program was evaluated by comparing the performances of experts and novices.
The training procedure was divided into two sessions: a theoretical session on difficult airways, the fiber...
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PMID: 20820147
PDF is available here.
Abstract
We were unable to control.
Anesthesia professional-delivered sedation is projected to grow substantially for both procedures.
Copyright 2010 American Society for Gastrointestinal Endoscopy. Published by Mosby, Inc. All rights reserved....
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PMID: 20630511
PDF is available here.
Abstract
We investigated whether preoperative pancreatic sphincterotomy and stenting could prevent the development of PF in patients with DP.
Nonrandomized cohort study with a prospective endoscopic intervention group and a retrospective control group.
Single-center academic teaching hospital.
Preoperative e...
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PMID: 20598301
PDF is available here.
Abstract
Important questions remain regarding how best to monitor patients during procedural sedation and analgesia (PSA). Capnometry can detect hypoventilation and apnea, yet it is rarely used in emergency patients. Even the routine practice of performing preoxygenation in low-risk patients is controversial...
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PMID: 20880431
PDF is available here.
Abstract
Ultrasound-guided interscalene and supraclavicular blocks are effective and safe for shoulder arthroscopy. Temporary and permanent PONS is uncommon....
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PMID: 20686013
PDF is available here.
Abstract
This technique of image-guided biopsy has high diagnostic yield with acceptably low morbidity and may be performed as a day case. Intraoperative neuropathological examination would not have increased the diagnostic yield further in this study, and its routine use may not be necessary. In the authors...
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PMID: 20136389
PDF is available here.
Abstract
The indication for invasive intracranial pressure (ICP) recording in comatose patients after head injury is a matter of discussion. In this review the evidence-based data are analysed. Monitoring appears useful especially in sedated patients, but there is no study which provides evidence of its over...
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PMID: 20422509
PDF is available here.
Abstract
Our data suggest that use of DS may be associated with a higher rate of advanced lesion detection. However, this retrospective design has limitations that necessitate follow-up with prospective studies. These follow-up studies would be essential to support any change in the standard practices of sed...
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PMID: 20411420
PDF is available here.
Abstract
Owing to advances in MRI and its crucial role in the diagnosis of various diseases, deep sedation or anaesthesia for MRI in children is requested increasingly. According to current guidelines maximum patient safety and welfare has to be ensured. Recently different sedation regimens comparing effecti...
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PMID: 20531170
PDF is available here.
Abstract
So far, no specific treatment is available for patients with any forms of epidermolysis bullosa. However, more and more minimal invasive surgical techniques are used to manage symptoms of the disease, for example endoscopic balloon dilatation for severe esophageal strictures. SUMMARY: In this articl...
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PMID: 20543680
PDF is available here.
Abstract
Administration of sedation/anesthesia for patients undergoing uncomfortable or painful interventions outside the operating room is an expanding practice involving a wide variety of practitioners. With a growing emphasis on cost, efficiency, and patient satisfaction, propofol alone or in combination...
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PMID: 20531171
PDF is available here.
Abstract
Anesthesia outside of the operating room is rapidly increasing in numbers, which has seen a growth of older and sicker patients. These circumstances have created a need for guidelines, for both specialist anesthesia providers and nonanesthesia-trained practitioners, that define patient selection, mi...
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PMID: 20585246
PDF is available here.
Abstract
We compared simultaneous readings recorded by the SNAP II and bispectral index during sedation in 51 consecutive patients undergoing surgery. The anaesthesia team was blinded to the SNAP II and bispectal index values. Concurrent SNAP II and bispectral index readings displayed similarly-shaped trajec...
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PMID: 20586747
PDF is available here.
James C Jackson,
Timothy D Girard,
Sharon M Gordon,
Jennifer L Thompson,
Ayumi K Shintani,
Jason W W Thomason,
Brenda T Pun,
Angelo E Canonico,
Janet G Dunn,
Gordon R Bernard,
Robert S Dittus and
E Wesley Ely
Abstract
In this trial, management of mechanically ventilated medical ICU patients with a wake up and breathe protocol resulted in similar cognitive, psychological, and functional outcomes among patients tested 3 and 12 months post-ICU. The proven benefits of this protocol, including improved 1-year survival...
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PMID: 20299535
PDF is available here.
Abstract
Complete data sets were obtained for 148 awake, 28 sedated, and 27 anesthetized participants. Data revealed 12 stage sequences among patient visits; dominant sequences differed according to patient category. An awake patient's average visit duration (2 hours 21 minutes) differed significantly from t...
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PMID: 20505061
PDF is available here.
Abstract
Analgesia induced via tramadol administration was dose dependent (eg, mean duration of complete analgesia at the perineum was 18 minutes when cows received the 1 mg/kg dose, 60 minutes when cows received the 2 mg/kg dose, and 92 minutes when cows received the 3 mg/kg dose). Slight to mild sedation a...
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PMID: 20594072
PDF is available here.
Abstract
We report on a patient with advanced myxofibrosarcoma and lung metastases, suffering from severe dyspnoea. Symptoms were not manageable by means of standard palliative care, which made palliative sedation therapy necessary in order to alleviate dyspnoea. On the basis of this case study, indications,...
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PMID: 20694763
PDF is available here.
Abstract
Sixty-eight subjects entered the trial, with complete data for 66 subjects. Baseline pain scores were similar for the prochlorperazine/diphenhydramine and sumatriptan groups (76 versus 71 mm). Mean reductions in pain intensity at 80 minutes or time of ED discharge were 73 mm for the prochlorperazine...
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PMID: 20045576
PDF is available here.
Abstract
Although statistically significant values were not detected between the two groups with regard to mean arterial pressure, in Group I heart rates were higher and S(pO2) scores were lower in a statistically significant manner. When the groups were compared with regard to RSS, the RSS scores of Group I...
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PMID: 20531094
PDF is available here.
Abstract
Video-assisted thoracic surgery utilizing local anesthesia-sedation is well tolerated, safe, and valuable for an increasing number of indications.
Copyright 2010 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved....
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PMID: 20609784
PDF is available here.
Abstract
Continuous EEG monitoring (cEEG) is commonly employed in critically ill patients to detect NCS and NCSE. However, there is substantial variability in current practice related to cEEG indications and duration and to management of NCS and NCSE. The fact that such variability exists in the management o...
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PMID: 20198513
PDF is available here.
Abstract
Snoring during CS is a strong predictor of OSA. Given the medical and financial burden of undiagnosed OSA, these patients should be carefully identified and referred for sleep medication evaluation.
Copyright 2010 American Society for Gastrointestinal Endoscopy. Published by Mosby, Inc. All rights...
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PMID: 20304398
PDF is available here.
Abstract
EBUS-TBNA may safely be performed under conscious intravenous sedation and is associated with very high patient satisfaction....
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PMID: 20507652
PDF is available here.
Abstract
Patients undergoing sedation in emergency departments (EDs) must be monitored carefully to ensure that, when they are being transferred to different departments, they are safe and that information about them is accurate. However, sedation scoring, for which several tools are available, should not be...
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PMID: 20608397
PDF is available here.
Abstract
Three thousand five hundred twenty-two (3522) children received dexmedetomidine sedation between May 1, 2007 and December 31, 2008 for magnetic resonance imaging studies. Median age was 3.6 years (interquartile range: 1.8-5.9). A total of 172 patients (4.9%) developed hypertension, with a higher inc...
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PMID: 20412458
PDF is available here.
Abstract
Static axial measurements of RGA did not change with increasing dose of dexmedetomidine. Most sagittal airway dimensions demonstrated clinically modest, although statistically significant, reductions with high dose compared to low dose dexmedetomidine. Although, the dynamic changes in nasopharyngeal...
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PMID: 20412456
PDF is available here.
Abstract
This study provides further evidence to support the effectiveness, safety and acceptability of this technique. The authors suggest this provides sufficient basis to justify its use by suitably trained dental practitioners in primary care as part of the spectrum of anxiety and behaviour management fo...
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PMID: 20512108
PDF is available here.
Abstract
Various types of sedation and analgesia technique have been used during gastrointestinal endoscopy procedures. The best methods for analgesia and sedation during gastrointestinal endoscopy are still debated. Providing an adequate regimen of sedation/analgesia might be considered an art, influencing...
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PMID: 20503443
PDF is available here.
Abstract
We identified 607 children who received 1480 propofol anesthetic procedures for imaging studies. Seventy percent of anesthetics were given to subjects with severe diseases and significant disabilities (American Society of Anesthesiologists Physical Status [ASA] III). Anesthesia had a mean (SD) durat...
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PMID: 20530306
PDF is available here.
Abstract
No significant difference for cecal intubation rates were detected between the two groups (95.7% and 98.7% in hysterectomy and control groups, respectively; P=0.176). The crude OR for the success rate was 0.29 (95% CI 0.05 to 1.90). There was no significant difference between groups regarding sedati...
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PMID: 20559578
PDF is available here.