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Medikation vor und während endoskopischer Untersuchungen

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Gastroenterologische Endoskopie

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Zusammenfassung

Die Notwendigkeit einer generellen Prämedikation wird bei endoskopischen Untersuchungen im Gegensatz zu einer situativen und individuellen Bedarfsmedikation während der Endoskopie kontrovers diskutiert [1, 8, 9, 14, 16, 23, 30, 33–36, 38, 41, 45]. Sie wird in unterschiedlicher Häufigkeit eingesetzt, wobei dies von Untersucher zu Untersucher und von Land zu Land variiert. Während in den Vereinigten Staaten und Frankreich eine intravenöse Prämedikation von den Patienten ganz überwiegend erbeten und in England in einem hohen Prozentsatz zum Einsatz kommt, werden in Japan, Deutschland, Polen, Spanien, Finnland und Schweden die Mehrzahl der Endoskopien ohne eine intravenöse Prämedikation, obere Intestinoskopien lediglich mit einer Lokalanästhesie des Rachenraums durchgeführt [1,10,13, 22, 24, 34,36,42,43,47].

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Literatur

  1. A1-Atrakchi HА (1989) Upper gastrointestinal endoscopy without sedation: a prospective study of 2000 examina- 25. tions. Gastrointest Endosc 35:79

    Article  CAS  Google Scholar 

  2. Bardhan KD, Morris P, Taylor PC, Hinschliffe RFC (1984) Intravenous sedation for upper gastrointestinal endoscopy: diazepam vs. midazolam. Br Med J 288:1046 .

    Article  CAS  Google Scholar 

  3. Bell GD, Morden A, Coady T, Lee J, Logan RFA (1988) A comparison of diazepam and midazolam as endoscopic 27. premedication assessing changes in ventilation and oxygen saturation. Brit J Cfin Pharmacol: 28:595

    Article  Google Scholar 

  4. Bell GD (1990) Premedication and intravenous sedation for upper gastrointestinal endoscopy. Aliment Pharmacol 29. Ther 4:103

    Article  CAS  Google Scholar 

  5. Bell GD (1991) Recommendations for standards of sedation and patient monitoring during gastrointestinal endoscopy. Gut 32:823

    Article  PubMed  CAS  Google Scholar 

  6. Bianci Porro G, Lazzaroni М (1992) Preparation, premedication and surveillance. Endoscopy 24:1

    Article  Google Scholar 

  7. Campo R, Brullet E, Montserrat A et al. (1995) Topical pharyngeal anesthesia improves tolerance of upper gastrointestinal endoscopy: a randomized double-blind study. Endoscopy 27:659

    Article  PubMed  CAS  Google Scholar 

  8. Charlton JE (1995) Monitoring and supplemental oxygen during endoscopy. One death per 2000 procedures demands action. Brit Med J 310:886

    CAS  Google Scholar 

  9. Classen M, Phillip J, Frühmorgen P, etal. (1975) Prämedikation bei der peroralen Endoskopie. Inn Med 2:257

    Google Scholar 

  10. Daneshmend TK, Bell GD, Logan RFA (1991) Sedation for upper gastrointestinal endoscopy: results of a nationwide survery. Gut 32:12

    Article  PubMed  CAS  Google Scholar 

  11. Del Veccio PJ (1978) Apnea after intravenous diazepam administration. JAMA 239:614

    Google Scholar 

  12. Fleischer D (1989) Monitoring the patient receiving conscious sedation for gastrointestinal endoscopy: Issues and guidelines. Gastrointest Endosc 35:262

    Article  PubMed  CAS  Google Scholar 

  13. Froehlich F, Gonvers M, Fried M (1994) Conscious sedation, clinically relevant complications and monitoring of endoscopy: Results of a nationwide survey in Switzerland. Endoscopy 26:231

    Article  PubMed  CAS  Google Scholar 

  14. Froehlich F, Schwizer W, Thorens J (1995) Conscious sedation for gastroscopy: Patient tolerance and cardiorespiratory parameters. Gastroenterology 108:697

    Article  PubMed  CAS  Google Scholar 

  15. Froehlich F, Fried M, Sauerbruch T (1997) Patientenüberwachung. In: Leitlinien der Deutschen Gesellschaft für Verdauungs-and Stoffwechselkrankheiten (DGVS) (Hrsg.: Sauerbruch T, Scheuerlen Ch) Demeter Verlag, Balingen

    Google Scholar 

  16. Gebbensleben B, Rohde H (1990) Angst vor der gastrointestinalen Endoskopie - ein bedeutsames Problem? Dtsch Med Wschr 115:1539

    Article  PubMed  CAS  Google Scholar 

  17. Hall SC, Ovassapian A (1977) Apnea after intravenous diazepam therapy. JAMA 238:1052

    Article  PubMed  CAS  Google Scholar 

  18. Hasselkus W, Freitag P (1992) Belastung des Patienten durch die Gastroskopie. Z Allg Med 68:388

    Google Scholar 

  19. Hedenbro JL, Lindblom A (1991) Patient attitudes to sedation for diagnostic upper endoscopy. Scand J Gastroent 26:1115

    Article  PubMed  CAS  Google Scholar 

  20. Hoare AM (1974) Pulmonary embolus after diazepam sedation. JAMA 230:210

    Article  PubMed  CAS  Google Scholar 

  21. Hsu RK, Young R, Beaton G. et al. (1997) Impact of a 5 minutes courtesy phone call in patients scheduled for outpatient endoscopic procedures - a prospective randomized study. Gastroint Endosc 45:AB49 (abstract)

    Google Scholar 

  22. Keeffe EB, O’Conner KW (1990) 1989 A/S/G/E survey of endoscopic sedation and monitoring practice. Gastroint Endosc 36:513

    Google Scholar 

  23. Keeffe EB (1995) Sedation and Analgesia for Endoscopy. Gastroenterology 108:932

    Article  PubMed  CAS  Google Scholar 

  24. Ladas SD, Giorgiotis C, Pipis P et al. (1990) Sedation for upper gastrointestinal endoscopy: time for reappraisal? Gastrointest ndosc 36:417

    Article  CAS  Google Scholar 

  25. Lanius M, Zimmermann P, Heegewaldt H et al. (1990) Reduziert ein Informationsheft fiber die Magen-bzw. Dickdarmspiegelung die Angst vor diesen Untersuchungen? Z Gastroenterol 28:651

    CAS  Google Scholar 

  26. Lazzaroni M, Bianchi Porro G (1996) Preparation, Premedication and Surveillance Endoscopy 28:6

    Google Scholar 

  27. Langdon DE (1973) Thrombophlebitis following diazepam. JAMA 225:13896

    Article  Google Scholar 

  28. Langdon DE, Harlan JR, Bailey RL (1973) Thrombophlebitis with diazepam used intravenously. JAMA 223:184

    Article  PubMed  CAS  Google Scholar 

  29. Liebermann DA, Wuerker CK, Katon RM (1985) Cardiopulmonary risk of oesophagogastroduodenoscopy. Role of endoscopic diameter an systemic sedation. Gastroenterology 88:468

    Google Scholar 

  30. McCloy R, Nagengast F, Fried M, Rohde H, Froehlich F, Whit-war J. (1996) Conscious sedation for endoscopy. European Journal of Gastroenterology and Hepatology 8:1233

    Article  PubMed  CAS  Google Scholar 

  31. Mulcahy HE, Greaves RRSH, Ballinger B et al. (1996) A double-blind randomized trail of low-dose versus high-dose topical anaesthesia in unsedated upper gastrointestinal endoscopy. Aliment Pharmacol Ther 10:975

    Article  PubMed  CAS  Google Scholar 

  32. Perieira SP, Hussain SH, Hanson PJV, Wilkinson ML, Sladen GE (1994) Endoscopy: throat spray or sedation. JR Coll Physicians Lond 28:411

    Google Scholar 

  33. Petersen H, Myren J (1972) Premedication for peroral endoscopy. Two double-blind-studies. Scand J Gastroent 7:583

    Article  PubMed  CAS  Google Scholar 

  34. Quine MA, Bell GD, McCloy RF et al. (1995) Prospective audit of upper gastrointestinal endoscopy in two regions of England: safety, staffing and sedation methods. Gut 36:462

    Article  PubMed  CAS  Google Scholar 

  35. Quine MA, Colin-Jones DG (1996) Gastrointestinal Endoscopy: To Sedate or not to Sedate? Endoscopy 28:306

    Article  PubMed  CAS  Google Scholar 

  36. Rey JF (1996) Sedation for Upper Gastrointestinal Endoscopy: As Much as Possible, or Without? Endoscopy 28:308

    Article  PubMed  CAS  Google Scholar 

  37. Roos WA (1989) Premedication for upper gastrointestinal endoscopy. Gastrointest Endosc 35:120

    Article  Google Scholar 

  38. Sasaki I, Okazaki K, Inometa Y, Suzuki H (1997) Importance of conscious sedation and monitoring for safe and effective total colonoscopy. Gastroint Endosc 46:199

    Google Scholar 

  39. Saunders BP, Williams CB. (1996) Premedication with intravenous antispasmotic speeds colonoscope insertion. Gastrointest Endosc 43:209

    Article  PubMed  CAS  Google Scholar 

  40. Schneider-Helmert D (1985) Dämmerzustände nach dem Hypnotikum Midazolam. Schweiz Med Wochenschr 115: 247

    PubMed  CAS  Google Scholar 

  41. Schwenkmezger G, Asshoff H, Sćhütz S, Buchhorn S (1997) Angst-and Streßreaktion and ihre Bewältigung bei ambulanter gastrointestinaler Endoskopie: Ist eine Prämedikation gerechtfertigt? Z Gastroenterol 35:913

    PubMed  CAS  Google Scholar 

  42. Seow-Choen F, Leong AFPK, Tsang C (1994) Selective sedation for colonoscopy. Gastrointest Endosc 40:661

    PubMed  CAS  Google Scholar 

  43. Smith MR, Bell DG (1993) Routine oxygen during endoscopy? An editorial review. Endoscopy 25:298

    Article  PubMed  CAS  Google Scholar 

  44. Standards of Practice Commitee. American Society of Gastrointestinal Endoscopy: Monitoring patients undergoing gastrointestinal endoscopic procedures. Guidelines for clinical application (1991). Gastrointest Endosc 37:120

    Article  Google Scholar 

  45. Fisher NC, Bailey S, Gibson JA (1998) A Prospective, Randomized Controlled Trail of Sedation vs. No Sedation in Outpatient Diagnostic Upper Gastrointestinal Endoscopy. Endoscopy 30:21

    Article  PubMed  CAS  Google Scholar 

  46. Lazzaroni M, Bianchi Porro G (1998) Preparation, Premedication and Surveillance. Endoscopy 30:53

    Article  PubMed  CAS  Google Scholar 

  47. Ristikankare MKO, Julkunen RJK (1998) Premedication for gastrointestinal endoscopy is a rare practic in Finland: a nationwide survey. Gastroint Endosc 47:204

    CAS  Google Scholar 

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Authors
  1. P. Frühmorgen
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Editors and Affiliations

  1. Medizinische Klinik I (Schwerpunkt Gastroenterologie/Hepatologie), Klinikum Ludwigsburg, Posilipostraße 4, D-71640, Ludwigsburg, Germany

    P. Frühmorgen

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© 1999 Springer-Verlag Berlin Heidelberg

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Frühmorgen, P. (1999). Medikation vor und während endoskopischer Untersuchungen. In: Frühmorgen, P. (eds) Gastroenterologische Endoskopie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-58391-9_10

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  • DOI: https://doi.org/10.1007/978-3-642-58391-9_10

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-63571-7

  • Online ISBN: 978-3-642-58391-9

  • eBook Packages: Springer Book Archive

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