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Endoscopie bij kinderen

Welke rol is er voor sedatie?

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Tijdschrift voor kindergeneeskunde

Summary

Sedation is a separate medical technique that can be used for painless diagnostic endoscopical procedures in cooperative patients. An analgetic agent must be added if pain is expected. However, the dosages have to be reduced due to potentiating effects of these drugs. In case of painful endoscopical procedures or if immobilisation is required, general anesthesia has to be preferred. Discomfort of the patient and circumstances which are sometimes difficult to control necessitate centers where endoscopies in children are performed to create a situation in which the support of an anesthesist easily is obtained.

Samenvatting

Sedatie is een separate medische handeling die kan worden toegepast voor niet-pijnlijke diagnostische endoscopische procedures bij coöperatieve kinderen. Indien er sprake is van pijn, moet een analgeticum worden toegevoegd waarbij, gezien het potentiërend effect ten aanzien van zowel de werking als de bijwerking, de dosis van beide middelen dienen te worden aangepast. Voor pijnlijke endoscopische ingrepen en daar waar immobilisatie is vereist, moet worden gekozen voor algehele anesthesie. De soms moeilijk te controleren omstandigheden en het waar te nemen ongemak voor de patiënt maken het noodzakelijk om in de nabije toekomst voor endoscopische ingrepen bij kinderen zonder problemen anesthesiologische ondersteuning te kunnen verkrijgen.

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  1. www.bsl.nl/shop/tydschrift-vkindergeneeskunde-0376-7442.html

    H. H. F. Derkx

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  1. H. H. F. Derkx
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  2. A. N. J. Schouten
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Additional information

(mede namens de sectie Kindergastro-enterologie van de Nederlandse Vereniging voor Kindergeneeskunde)

H.H.F. Derkx, Emma Kinderziekenhuis AMC, Universiteit van Amsterdam, afdeling kindergastroenterologie en voeding, Amsterdam. A.N.J. Schouten, Kinderziekenhuis, Academisch Ziekenhuis Utrecht, Instituut voor Anesthesiologie, Utrecht.

Correspondent: Dr. H.H.F. Derkx, kindergastro-enteroloog, afd. Kindergastroenterologie en Voeding, Emma Kinderziekenhuis AMC, Postbus 22700, 1100 de Amsterdam.

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Derkx, H.H.F., Schouten, A.N.J. Endoscopie bij kinderen. KIND 68, 241–246 (2000). https://doi.org/10.1007/BF03061317

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