Download or read book Safety and Sedation During Endoscopic Procedures written by and published by . This book was released on 2003 with total page 4 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Sedation and Monitoring in Gastrointestinal Endoscopy An Issue of Gastrointestinal Endoscopy Clinics of North America written by John Vargo and published by Elsevier Health Sciences. This book was released on 2016-07-15 with total page 177 pages. Available in PDF, EPUB and Kindle. Book excerpt: In this issue an impressive group of contributors at the forefront of sedation research has been assembled to provide endoscopists and dedicated nursing personnel alike a comprehensive review of important topics in the field sedation and analgesia. A discussion on the pharmacology and agents used to provide moderate and deep sedation provides the basic framework that is a crucial element in determining the driving force behind the developments in sedation and analgesia. An evidence-based approach on the use of unsedated endoscopy is also provided. Other topics included the use of propofol, patient-controlled sedation and analgesia, extended physiologic monitoring, risk management, and quality assurance as they apply to the spectrum of sedation in the endoscopy suite. Sedation and analgesia in the pediatric patient is also addressed.
Download or read book Procedural sedation written by Benjamin Grossmann and published by Linköping University Electronic Press. This book was released on 2019-05-13 with total page 90 pages. Available in PDF, EPUB and Kindle. Book excerpt: Background: Safety and effectiveness are fundamental principles within the healthcare sector to provide quality of care and health improvement for patients. By ensuring that care is provided based on evidence-based knowledge, risks and complications can be minimised and the use of scarce resources optimised. An increasing demand for diagnostic and therapeutic procedures challenges the traditional methods for sedation regarding safety and effectiveness. It is desirable that the fundamental principles are improved when refining existing or developing new sedation methods. In this doctoral thesis, safety and effectiveness were evaluated for adult patient-controlled sedation (PCS) using propofol during two endoscopic procedures: endoscopic retrograde cholangiopancreaticography (ERCP) and flexible bronchoscopy (FB); and different doses of rectal racemic ketamine for paediatric (< 4 years) burn wound care. Methods: Data on vital functions, sedation level, safety interventions, procedure feasibility, patient-reported outcome and experience measures, and recovery, from three clinical randomised controlled trials were collected. Costs of sedation for the endoscopic procedures were compiled in a cost-analysis study. Results: PCS with propofol and bedside anaesthetic personnel was shown to be a safe and effective alternative method of sedation during ERCP and FB compared with intravenous sedation with midazolam. The PCS method gives stable cardiorespiratory conditions with few adverse events and interventions, with a low risk of oversedation. PCS offers similar (FB) or better (ERCP) procedure feasibility and patient satisfaction during the procedures than midazolam. Recovery after PCS is quick, minimises the risk for prolonged hospitalisation and is thereby a potential cost-saving sedation method. The optimal dose of rectal racemic ketamine, 6 mg/kg with the addition of 0.5 mg/kg midazolam during severely painful procedures, gives minimal risk for outbreaks of pain, offers stable vital signs conditions and allows rapid recovery without affecting procedure feasibility. Conclusions: The sedation method can be adjusted to type of procedure and patient population. PCS with propofol offers an alternative and reliable method for adult sedation during endoscopic procedures, whereas rectal racemic ketamine combined with midazolam provides good conditions for burn care dressing procedures in young children.
Download or read book Practical Pediatric Gastrointestinal Endoscopy written by George Gershman and published by John Wiley & Sons. This book was released on 2021-03-02 with total page 448 pages. Available in PDF, EPUB and Kindle. Book excerpt: The reference text for all those practicing diagnostic and therapeutic pediatric endoscopy – trainees, trainers, specialist endoscopists, gastroenterologists and hepatologists alike. Practical Pediatric Gastrointestinal Endoscopy, 3rd Edition provides a comprehensive and up-to-date exploration for the performance of endoscopy in infants, children and young adults. Written in the form of a complete "how to" manual and filled with step-by-step instructions, this book seeks to bring newcomers to the field of pediatric gastrointestinal endoscopy quickly up to speed. The book is also highly useful for experienced specialist endoscopists and gastroenterologists to brush up on best practice in standard techniques and explore advanced topics in the field. Practical Pediatric Gastrointestinal Endoscopy highlights the substantial and important differences between performing an endoscopy on a mature adult and performing one in a pediatric patient. The differences discussed include: GI pathology Subtleties of diagnostic technique specific to children Application of therapeutic endoscopy to specifically pediatric scenarios Anesthesia and sedation Training and skill maintenance Sophisticated endoscopic techniques adapted from adult endoscopy to children and those techniques specifically orientated to problems and diseases mainly encountered in childhood. This guide is becoming an essential companion for those of us providing diagnostic and therapeutic endoscopy for children in the world today and opens the door to future possibilities in this ever-evolving field.
Download or read book Johns Hopkins Manual of Gastrointestinal Endoscopic Procedures written by Jeanette Ogilvie and published by SLACK Incorporated. This book was released on 2008 with total page 228 pages. Available in PDF, EPUB and Kindle. Book excerpt: Looking for a quick and easy manual that will provide quick but comprehensive set-up and how-to techniques for most gastrointestinal endoscopic procedures? Turn to the Johns Hopkins Manual for Gastrointestinal Endoscopic Procedures, Second Edition by Jeanette Ogilvie, Lisa M. Hicks, and Dr. Anthony N. Kalloo for the latest information that will help to simplify this rapidly evolving technique. Read what your colleagues have to say about the book: "This book is a resource that takes endoscopy nurses from preprocedure to postprocedure focusing on all of the elements essential to delivering excellent patient care from procedure preparation to discharge. Information related to sedation, safe handling of equipment, and additional resources are also included. This edition contains the newest procedures and the most up to date techniques. The detailed pictures and illustrations strengthen the text. This manual is a key resource for new and experienced endoscopy nurses. It functions as a reference for anyone using endoscopy equipment and will contribute to improving the care delivered to patients undergoing these procedures." -Karen K. Davis, RN, MS, Director of Nursing, Department of Medicine, The Johns Hopkins Hospital, Baltimore, MD "The evolution of endoscopy into a more therapeutic endeavor has resulted in a need for a wider diversity of skills necessary to choreograph the patient care process cycle in endoscopy. The demands for more efficiency while maintaining the utmost standards in patient care makes the timing of this edition of the manual even more germane. This manual is a "must have" for those who are newly exposed to the endoscopy unit. It contains all the rudiments necessary for developing skill set guides and standard operating procedures manuals for any units or operating rooms involved in gastrointestinal endoscopy." -Patrick I. Okolo III, MD, MPH, Chief, Gastrointestinal Endoscopy, Assistant Professor of Medicine, The Johns Hopkins Hospital, Baltimore, Maryland What's inside the Second Edition: - Definitions and indications for common endoscopic procedures - Listings of necessary equipment - Photographs and illustrations - Detailed outline of nursing care before, during, and after endoscopic procedures - General guidelines for moderate sedation, equipment disinfection, and sterilization - Special considerations for patients with specific medical conditions Some new techniques inside the Second Edition: - Anti-reflux procedures - Cryotherapy - Full-thickness fundoplication
Download or read book Anaesthetic Considerations in Gastrointestinal Endoscopies written by Moad Ehfeda and published by . This book was released on 2019 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Gastrointestinal endoscopy has become fundamental procedure for diagnosis and treatment of gastrointestinal tract diseases. Generally, the gastrointestinal endoscopy is minimally invasive procedure. However, it can cause considerable amount of discomfort and pain which make the procedure unsafe, complicated and refusal of follow up procedures if done without safe sedation. The sedation is required to alleviate anxiety, provide analgesia, amnesia and to improve endoscopic performance specifically in therapeutic procedures. The safe administration of sedative and analgesic medications, irrespective of the regimen used, requires knowledge of the individual needs of patients. The combination of benzodiazepines and opioids is now the most widely used sedation regimen for sedation in gastrointestinal endoscopic procedures. Generally, sedation for gastrointestinal endoscopy is considered safe, however, it has the potential for serious complications. Therefore, endoscopist should assess the patients properly before the endoscopy as well as should be aware of all possible complications and the risk factors. Furthermore, skilled staff and emergency equipment should be available in endoscopy suit. This chapter discuss in details all the aspects of safe procedural sedation during GI endoscopies.
Download or read book Drug Induced Sleep Endoscopy written by Nico de Vries and published by Thieme. This book was released on 2020-11-11 with total page 442 pages. Available in PDF, EPUB and Kindle. Book excerpt: The definitive resource on the innovative use of DISE for obstructive sleep apnea Obstructive sleep apnea is the most prevalent sleep-related breathing disorder, impacting an estimated 1.36 billion people worldwide. In the past, OSA was almost exclusively treated with Continuous Positive Airway Pressure (CPAP), however, dynamic assessment of upper airway obstruction with Drug-Induced Sleep Endoscopy (DISE) has been instrumental in developing efficacious alternatives. Drug-Induced Sleep Endoscopy: Diagnostic and Therapeutic Applications by Nico de Vries, Ottavio Piccin, Olivier Vanderveken, and Claudio Vicini is the first textbook on DISE written by world-renowned sleep medicine pioneers. Twenty-four chapters feature contributions from an impressive group of multidisciplinary international experts. Foundational chapters encompass indications, contraindications, informed consent, organization and logistics, patient preparation, and drugs used in DISE. Subsequent chapters focus on treatment outcomes, the role of DISE in therapeutic decision making and upper airway stimulation, pediatric sleep endoscopy, craniofacial syndromes, advanced techniques, and more. Key Highlights Comprehensive video library highlights common and rare DISE findings A full spectrum of sleep disordered breathing and OSA topics, from historic to future perspectives Insightful clinical pearls on preventing errors and managing complications including concentric and epiglottis collapse Discussion of controversial DISE applications including oral appliances and positional and combination therapies This unique book is essential reading for otolaryngology residents, fellows, and surgeons. Clinicians in other specialties involved in sleep medicine will also benefit from this reference, including pulmonologists, neurologists, neurophysiologists, maxillofacial surgeons, and anesthesiologists.
Download or read book Pediatric Endoscopy and Sedation written by Ron Shaoul and published by Frontiers Media SA. This book was released on 2022-04-05 with total page 114 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Cotton and Williams Practical Gastrointestinal Endoscopy written by Adam Haycock and published by John Wiley & Sons. This book was released on 2014-03-03 with total page 213 pages. Available in PDF, EPUB and Kindle. Book excerpt: Translated into seven languages, Cotton and Williams' Practical Gastrointestinal Endoscopy has for the last 25 years been the basic primer for endoscopy around the world, providing clear, clinical and practical guidance on the fundamentals of endoscopy practice, from patient positioning and safety, how to perform different endoscopic procedures, and the latest in therapeutic techniques and advances in technology. It's key strength and reason for its popularity is its step-by-step, practical approach, especially with the use of outstanding colour artwork to illustrate the right and wrong ways to perform endoscopy. Add to this the weight and expertise of its author team, led by Peter Cotton and Christopher Williams, and the final result is an essential tool for all gastroenterologists and endoscopists, particularly trainees looking to improve their endoscopic technique. Joining Peter Cotton, Christopher Williams and Brian Saunders in the seventh edition are two exciting stars in UK and US endoscopy, Adam Haycock and Jonathan Cohen. New to this edition are: Approximately 35 high-quality videos illustrating optimum endoscopy practice, all referenced via “video eyes” in the text Self-assessment MCQs to test main learning points An online clinical photo imagebank to complement the line illustrations, perfect for downloading into scientific presentations Key learning points in every chapter Much more information on mucosal resection techniques and small bowel endoscopy—for capsule and “deep” enteroscopy The latest recommendations and guidelines from the ASGE, ASG, UEGW and BSG. Cotton and Williams' Practical Gastrointestinal Endoscopy, seventh edition is fully modernised, masterful as ever, and once again, the number one endoscopy manual for a whole new generation of gastroenterologists and endoscopists.
Download or read book Anesthesia Outside of the Operating Room written by Richard Urman and published by Oxford University Press. This book was released on 2011-03-07 with total page 379 pages. Available in PDF, EPUB and Kindle. Book excerpt: Anesthesia Outside of the Operating Room is a comprehensive, up-to-date textbook that covers all aspects of anesthesia care in OOR settings, from financial considerations to anesthetic techniques to quality assurance. With increasing numbers of procedures such as cardiac catheterization and imaging taking place outside of the main OR, anesthesia providers as well as non-anesthesia members of the patient care team will find this book critical to their understanding of the principles of anesthesia care in unique settings which may have limited physical resources. Topics include patient monitoring techniques, pre-procedure evaluation and post-procedure care, and procedural sedation performed by non-anesthesia providers. The authors address problems of anesthesia that have unique answers in OOR settings, such as patient transport and cardiac arrest, and discuss technological progress and considerations for the future. The text also covers surgical procedures and anesthetic considerations by procedure location, such as radiology, infertility clinics, field and military environments, and pediatric settings, among many others Select guidelines from the American Society of Anesthesiologists (ASA) are provided as well. Edited by the senior faculty from Harvard Medical School and with contributions from other academic institutions, Anesthesia Outside of the Operating Room provides a unique and convenient compendium of expertise and experience.
Download or read book ERCP written by Peter B. Cotton and published by John Wiley & Sons. This book was released on 2020-04-29 with total page 432 pages. Available in PDF, EPUB and Kindle. Book excerpt: Provides the comprehensive knowledge required to perform ERCP safely and effectively Authored by the very best in the field, this “how-to” guide to mastering the crucial yet complex gastrointestinal procedure called endoscopic retrograde cholangiopancreatography (ERCP) covers the entire range of both standard and advanced techniques, using a highly practical approach. It also places a strong emphasis on patient education, safety, and minimizing risks, offering “tips and tricks” and key points throughout to aid rapid understanding. The book is filled with over 250 illustrations Covering ERCP preparation, techniques, clinical applications, and quality and safety, ERCP: The Fundamentals, 3rd Edition begins with chapters on “getting prepared,” including training and competence; facilities and equipment; risk assessment and reduction; sedation, anesthesia, and medications. It then covers “what can be done,” describing standard devices and techniques; intraductal therapies; ampullectomy; and reporting and documentation. Next it has chapters on “what should be done,” clinical applications of ERCP in acute cholangitis; peri-cholecystectomy; difficult bile duct stones; biliary pain; and numerous forms of pancreatitis. The book finishes with coverage of adverse events and how to ensure competent practice. Teaches all of the standard and advanced ERCP techniques Focuses on patient safety/comfort throughout Brilliantly-illustrated with endoscopic, EUS and radiologic images, and anatomical drawings Offers a step-by-step, practical approach to ERCP—highlighting potential technical and anatomical hazards Packed with tips and tricks boxes and key points boxes to assist comprehension 20 high-definition videos of ERCP performed by the experts, perfect to improve clinical technique Full reference to the very latest ASGE, ACG, ASG and UEGW guidelines throughout Brought to you by world pioneers in endoscopy, ERCP: The Fundamentals, 3rd Edition is an essential purchase for gastroenterologists and endoscopists of all levels.
Download or read book Out of Operating Room Anesthesia written by Basavana G. Goudra and published by Springer. This book was released on 2016-09-29 with total page 467 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book covers all aspects of out of operating room anesthesia and deep sedation practice. The practical aspects of anesthesia are emphasized, with particular stress on management of un-anticipated adverse events. A concise, yet comprehensive description of relevant basic sciences is also included. Although the contributors are predominantly North American, essential elements of out of OR practice in countries other than the USA are incorporated. Situations like those that contributed to the death of Joan Rivers are addressed with particular emphasis on their recognition, prevention and management. The importance of safety as the key element in providing anesthesia in remote or unfamiliar areas is highlighted and discussed. A lack of accurate documentation is a major drawback in out of OR anesthesia practice and the reader is drawn to the importance of documentation, both from a practical and medico legal standpoint. A separate chapter deals with research and future directions in out of OR anesthesia. Out of Operating Room Anesthesia: A Comprehensive Review, is primarily aimed at all anesthesia providers: anesthesiologists, nurse anesthetists and residents. Specific chapters such as dental anesthesia, anesthesia for ER procedures and sedation for cosmetic procedures will be useful as a reference guide to physicians exposed to brief training in anesthesia during their non-anesthesia residency program.
Download or read book Esophagitis and Gastritis written by Vincenzo Neri and published by BoD – Books on Demand. This book was released on 2021-12-22 with total page 175 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book provides a comprehensive overview of esophagitis and gastritis and the many manifestations of these conditions. Chapters cover such topics as gastroduodenal ulcers, infectious pathologies of the esophagus, gastrointestinal pathophysiological testing for upper GI disorders, and more.
Download or read book The ASCRS Textbook of Colon and Rectal Surgery written by Scott R. Steele and published by Springer. This book was released on 2016-03-24 with total page 1269 pages. Available in PDF, EPUB and Kindle. Book excerpt: This third edition text provides a completely revised and updated new version of this unique, modern, practical text that covers the strategic evaluation, specific approaches, and detailed management techniques utilized by expert colorectal surgeons caring for patients with complex problems–whether they result from underlying colorectal disease or from complications arising from previous surgical therapy. The format follows that of both a “how to” manual as well as an algorithm-based guide to allow the reader to understand the thought process behind the proposed treatment strategy. By making use of evidence-based recommendations, each chapter includes not only background information and diagnostic/therapeutic guidelines, but also provides a narrative by the author on his/her operative technical details and perioperative “tips and tricks” that they utilize in the management of these complex surgical challenges. Distinctive to this book, is the reliance on experts in the field including past presidents of the ASCRS, as well as multiple other national and internationally recognized surgeons, to lend their personal insight into situations where data may be more sparse, but individual and collective experience is paramount to making sound decisions and thereby optimizing patient outcomes. The text includes chapters on the assessment of risk and methods utilized to minimize perioperative complications. In addition, it incorporates sections covering the medical and surgical therapies for abdominal, pelvic and anorectal disease. Moreover, the technical challenges of managing complications resulting from the original or subsequent operations is addressed. The underlying focus throughout the text is on providing pragmatic and understandable solutions that can be readily implemented by surgeons of varying experience to successfully treat complex colorectal problems. However, it also goes beyond the technical aspects of colorectal surgery and includes special sections highlighting the essence of a surgeon; covering aspects involving the medical-legal, ethical, and economic challenges confronting surgeons. Throughout the text, each author provides an ongoing narrative of his/her individual surgical techniques along with illustrations and diagrams to “personally” take the reader through the crucial steps of the procedure, and key points of patient care inherent to that topic. Additionally, where appropriate, links to online videos give the reader an up-front look into technical aspects of colorectal surgery.
Download or read book Textbook of Onco Anesthesiology written by Rakesh Garg and published by Springer Nature. This book was released on 2021-05-09 with total page 539 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book covers all essential evidence on perioperative care and anesthetic concerns for cancer surgeries, including the evaluation and assessment of patients’ schedule for cancer surgeries, perioperative anesthetic management of various cancers, perioperative analgesia for cancer surgeries, and issues related to inoperable cancers. It reviews anesthetic considerations of all cancer types as there is a wide variation in anesthetic requirements in this subset of patients. Cancer surgeries are on the rise worldwide and healthcare facilities with cancer as a core specialty are emerging quickly around the globe. As cancer is on rise and efficient surgical management is available, more and more patients are being treated surgically. However, cancer surgeries are complicated, have varied concerns and these are not covered sufficiently in presently available textbooks of anesthesiology. This book fulfills the growing need for complete and comprehensive textbook of onco-anesthesia and fills the gap in the current texts that do not exclusively cover anesthesia for cancer surgeries. This textbook serves as a comprehensive but quick guide for trainee residents/fellows and practicing anesthesiologists, clinicians and surgeons.
Download or read book Practical Pediatric Gastrointestinal Endoscopy written by George Gershman and published by John Wiley & Sons. This book was released on 2008-04-15 with total page 216 pages. Available in PDF, EPUB and Kindle. Book excerpt: Practical Pediatric Gastrointestinal Endoscopy is the only text available that provides detailed instructions of all practical aspects of diagnostic and therapeutic endoscopic procedures in children. It gives detailed descriptions of the investigation, diagnosis and therapeutic pediatric GI endoscopy treatments with special attention to the differences between instruments used for adults and for pediatric patients. The advice is based on unique personal experience of thousands of endoscopic or colonoscopic procedures, written by a team of authors with experience in performing the diagnostic and therapeutic endoscopic procedures in children and infants of all ages. The key points of each step are accompanied by easy-to-follow color diagrams and a comprehensive atlas of endoscopic images, illustrating both normal and abnormal pathology, aiding and perfecting diagnosis and treatment. The step-by-step description of each procedure explains the purpose of each maneuvre, with much greater emphases on the practical aspects of diagnostics and therapeutic procedures to provide the best results and maximize patient safety. It looks at patient care before, during and after procedures and considers the new and less invasive Wireless Capsule Endoscopy options that will be less traumatic for the pediatric patient.
Download or read book Complications and Mishaps in Anesthesia written by Matthias Hübler and published by Springer. This book was released on 2014-05-02 with total page 531 pages. Available in PDF, EPUB and Kindle. Book excerpt: Ability to learn from errors is an essential aspect of the quest to improve treatment quality and patient safety. This book consists of 33 cases in anesthesiology that is based on real life situations and illuminate avoidable complications and mishaps. The cases are presented in a novel manner in that they are embedded within narratives. The reader comes to each case “cold”, without any clue as to the content, and each case comprises a narrative and a factual component that are interwoven. The narrative parts provide the reader with information and tips regarding the clinical problems and tasks that the protagonist must face and try to solve. The idea is to engage the reader emotionally while reading and to entertain him or her while learning. All cases conclude with short debriefing sections which include possible strategies to prevent similar errors or mishaps.
