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Sedierung adipöser Patienten für die Endoskopie

Sedation of obese patients during endoscopy

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Der Gastroenterologe Aims and scope

Zusammenfassung

Eine endoskopische Untersuchung muss effektiv, sicher und für den Patienten so angenehm wie möglich sein. Eine adäquate Sedierung des Patienten während der Untersuchung leistet hierzu einen wesentlichen Beitrag. Adipöse Patienten weisen ein erhöhtes Risiko während der Sedierung auf, wenn gleichzeitig kardiopulmonale Begleiterkrankungen vorliegen. Es ist dementsprechend auf ein adäquates Monitoring zu achten. Insbesondere im Hinblick auf eventuelle Schwierigkeiten bei einer Intubation muss in ausgewählten Fällen ein weiterer, intensivmedizinisch oder anästhesiologisch erfahrener Arzt hinzugezogen werden. Dosisanpassungen bei Sedativa und Opiaten sind erforderlich. Propofol weist hinsichtlich seiner pharmakologischen Eigenschaften Vorteile für die Sedierung von adipösen Patienten auf.

Abstract

An endoscopic examination must be effective, safe, and as comfortable as possible for the patient. Adequate sedation of the patient during the examination makes a considerable contribution toward achieving this goal. Obese patients are at increased risk during sedation in the presence of concomitant cardiopulmonary diseases. Attention should therefore be given to ensuring adequate monitoring. Particularly with regard to potential difficulties in intubation, another physician experienced in intensive medicine or anesthesiology should be consulted in selected cases. Sedative and opiate doses have to be adjusted accordingly. With respect to its pharmacological properties, propofol exhibits advantages in the sedation of obese patients.

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Authors and Affiliations

  1. Klinikum rechts der Isar, II. Medizinische Klinik, Technische Universität München, Ismaninger Str. 22, 81675, München, Deutschland

    S. von Delius, R.M. Schmid & E. Frimberger

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  1. S. von Delius
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  2. R.M. Schmid
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  3. E. Frimberger
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Correspondence to S. von Delius.

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von Delius, S., Schmid, R. & Frimberger, E. Sedierung adipöser Patienten für die Endoskopie. Gastroenterologe 3, 378–382 (2008). https://doi.org/10.1007/s11377-008-0202-1

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  • DOI: https://doi.org/10.1007/s11377-008-0202-1

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