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Intensiviertes Monitoring während Sedierung in der gastrointestinalen Endoskopie

Intensified monitoring during sedation for gastrointestinal endoscopy

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Zusammenfassung

Neben der der ersten bundesdeutschen S3-Leitlinie zur Sedierung in der gastrointestinalen Endoskopie haben sich auch die aktuellsten Leitlinien der amerikanischen gastroenterologischen Fachgesellschaften (ASGE) und ganz aktuell auch die der Europäischen Fachgesellschaft für Gastroenterologie und Endoskopie (ESGE) die Sicherheit der Patienten während einer Sedierung im Rahmen der gastrointestinalen Endoskopie zum obersten Gebot gemacht. Neben den in den Leitlinien formulierten Anforderungen an strukturelle und persönliche Qualifikation, erforderliche Personalressourcen, adäquate Aufklärung der Patienten über die Sedierung und individuellen Risikostratifizierung der Patienten ist sowohl das klinische Monitoring der Patienten als auch die apparative Überwachung von großem Stellenwert.

Abstract

In addition to the German S3 guidelines on sedation in gastrointestinal endoscopy, the current guidelines of the American Society for Gastrointestinal Endoscopy (ASGE) and the very recent guidelines of the European Society for Gastroenterology and Endoscopy (ESGE) have given utmost priority to patient safety during sedation for gastrointestinal endoscopy. In addition to the prerequisites for structural and personnel qualifications, adequate enlightenment of patients on sedation and individual risk stratification formulated in the guidelines, the clinical monitoring of the patient and the instrumental surveillance are of great importance.

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Interessenkonflikt

Materielle Unterstützung, Forschung: A. Riphaus: Oridion Capnography Inc., Needham, MA, USA; Fresenius Kabi, Bad Homburg v.d.H., Deutschland. S. von Delius: Danmeter A/S, Odense, Dänemark; Aspect Medical Systems, Norwood, MA, USA; Oridion Capnography Inc., Needham, MA, USA.

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Correspondence to Dr. A. Riphaus or PD Dr. S. von Delius.

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Riphaus, A., von Delius, S. Intensiviertes Monitoring während Sedierung in der gastrointestinalen Endoskopie. Gastroenterologe 6, 54–56 (2011). https://doi.org/10.1007/s11377-010-0522-9

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Schlüsselwörter

  • Kapnographie
  • Automatisierte Blutdruckmessung
  • Pulsoxymetrie
  • Automated Responsiveness Monitoring
  • Neuromonitoring

Keywords

  • Capnography
  • Automated blood pressure measurement
  • Pulse oxymetry
  • Automated responsiveness monitoring
  • Neuromonitoring