By Peter B. Cotton

Crucial new identify within the complicated Digestive Endoscopy seriesAdvanced Digestive Endoscopy: perform & protection offers a pragmatic handbook on easy methods to practice ideas thoroughly and successfully to be able to maximise price, and to minimize hazards. sincerely established, it covers education, endoscopy and imaging apparatus, an infection keep an eye on, sufferer education and tracking, issues and the way to prevent and take care of them. increasing at the content material of Peter Cotton’s best-selling useful Gastrointestinal Endoscopy, this instructive quantity includes info and instructions on all features of the perform of endoscopy, and is a perfect better half for either the trainee and the skilled endoscopist.Key gains include:Written via the top overseas names in endoscopy textual content has been expertly edited by means of Peter Cotton right into a succinct and instructive structure awarded briefly paragraphs dependent with headings, subheadings and bullet issues Richly illustrated all through with full-color images

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Extra resources for Advanced Digestive Endoscopy: Practice and Safety

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We consider that the careful titration of a combination of an opioid and benzodiazepine will result in a predictable targeting of moderate sedation and analgesia, but is this always the case? A balanced cohort of 80 ASA class I and II patients undergoing upper endoscopy, colonoscopy, ERCP and EUS received meperidine and midazolam according to a standardized protocol [3]. Hemodynamic parameters and levels of sedation were determined at 3-minute intervals utilizing the Modified Observer’s Assessment of Alertness and Sedation.

Droperidol Droperidol, a narcoleptic of the butyrophenone class, produces a dissociative state while enhancing the effects of other sedative medications. It is routinely used in some centers as a premedication for patients undergoing ERCP. Other indications include: a history of alcohol use or withdrawal, narcotic use, and a history of paradoxical agitation during conventional sedation. In a retrospective study involving 1102 procedures, droperidol was found to be a safe adjunct to the combination of narcotics and benzodiazepines [26].

Qxd 32 22/01/2008 09:35 AM Page 32 CHAPTER 2 11 Korman LY. Standardization in endoscopic reporting: implications for clinical practice and research. J Clin Gastroenterol 1999; 28: 217–23. 12 Croffie J, Carpenter S, Chuttani R et al. ASGE Technology Status Evaluation Report: disposable endoscopic accessories. Gastrointest Endosc 2005; 62: 477–9. 13 Petersen BT. Advantages of disposable endoscopic accessories. Gastrointest Endosc Clin N Am 2000; 10: 341– 8. 14 Walter VA, DiMarino AJ. American Society for Gastrointestinal Endoscopy — Society of Gastroenterology Nurses and Associates endoscope reprocessing guidelines.

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