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Report of Workshop on Drugs for Sedation

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Quality Control in Endoscopy

Abstract

In the American survey conducted by Keeffe [1] it was shown that most patients routinely receive intravenous sedation for endoscopic procedures. Likewise, in the United Kingdom, Bell [2] has shown that approximately 90% of endoscopists use intravenous benzodiazepines for sedating at least 75% of patients undergoing endoscopy. Overall, the Workshop concurred with this view although there were some marked national variations. The most extreme was Finland, where Dr. Janatuinen reported that they do not use sedation at all for endoscopy except for children under 6 years old.

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References

  1. Keeffe EB, O’Connor KW (1990) 1989 A/S/G/E survey of endoscopic sedation and monitoring practices. Gastrointest Endosc 36: S13–S18

    Google Scholar 

  2. Daneshmend TK, Bell GD, Logan RFA (1991) Sedation for upper gastrointestinal endoscopy. The results of a nationwide survey. Gut 32: 12–15

    Google Scholar 

  3. McCloy RF, Pearson RC (1990) Which agent and how to deliver it? Scand J Gastroenterol 25: (Suppl 179): 7–11

    Article  Google Scholar 

  4. Trieger N (1989) Intravenous sedation in dentistry and oral surgery. Int Anesthesiol Clin 27 (2): 83–91

    Article  PubMed  CAS  Google Scholar 

  5. Bell GD, Antrobus JHL, Lee J, Coady T, Morden A (1990) Bolus or slow injection of midazolam prior to upper gastrointestinal endoscopy? Relative effect on oxygen saturation and prophylactic value of supplement oxygen. Aliment Pharmacol Therap 4: 393–401

    Article  CAS  Google Scholar 

  6. Swain DG, Ellis DJ, Bradby H (1990) Rapid intravenous low-dose diazepam as sedation for upper gastrointestinal endoscopy. Aliment Pharmacol Therap 4: 43–48

    Article  CAS  Google Scholar 

  7. Bell GD, Spickett GP, Reeve PA, Morden A, Logan RFA (1987) Intravenous midazolam for upper gastrointestinal endoscopy: a study of 800 consecutive cases relating dose to age and sex of patient. Br J Clin Pharmacol 23: 241–244

    PubMed  CAS  Google Scholar 

  8. Langendijk PNJ, Loenen AC van, Scheepstra GL, Terhoeve P, de Lange JJ, Danhof M, Breimer DD. Kinetics and effects of midazolam after rectal administration. Submitted for publication.

    Google Scholar 

  9. Spear RM, Yaster M, Berkowitz MB, Maxwell LG, Bender KS, Naclerio R, Manolio TA, Nichols DG (1991) Preinduction of anesthesia in children with rectally administered midazolam. Anesthesiology 74: 670–674

    Article  PubMed  CAS  Google Scholar 

  10. Saint-Maurice C, Landais A, Delleur MM, Esteve C, MacGee K, Murat I. The use of midazolam in diagnostic and short surgical procedures in children. Acta Anaesthesiol Scand (Suppl 92) 34: 39–41

    Google Scholar 

  11. Walbergh EJ, Wills RJ, Eckhert J (1991) Plasma concentration of midazolam in children following intranasal administration. Anesthesiology 74: 233–235

    Article  PubMed  CAS  Google Scholar 

  12. Ricou R, Forster A, Bruckner A, Chastonay P, Gemperle M (1986) Clinical evaluation of a specific benzodiazepine antagonist (Ro 15–1788). Studies in elderly patients after regional anaesthesia under benzodiazepine sedation. Br J Anaesth 58: 1005–1011

    Google Scholar 

  13. Poswillo D (1990) General Anaesthesia, Sedation and Resuscitation in Dentistry: Report of an expert working party (Poswillo Report )

    Google Scholar 

  14. Bartelsman JF, Sars PR, Tytgat GN (1990) Flumazenil used for reversal of midazo- lam-induced sedation in endoscopy outpatients. Gastrointest Endosc 36 (Suppl 3): S9–S12

    PubMed  CAS  Google Scholar 

  15. Birch BR, Anson K, Gelister J, Parker C, Miller RA (1990) The role of midazolam and flumazenil in urology. Acta Anaesthesiol Scand (Suppl 92 ) 34: 25–32

    Article  CAS  Google Scholar 

  16. Rosario MT, Costa NF (1990) Combination of midazolam and flumazenil in upper gastrointestinal endoscopy, a double blind randomized study. Gastrointest Endosc 36 (1): 30–33

    Article  PubMed  CAS  Google Scholar 

  17. Birkenfeld S, Federico C, Dermanski-Arni Y, Bruck R, Melzer E, Bar-Meir S (1989) Double-blind controlled trial of flumazenil in patients who underwent upper gastrointestinal endoscopy. Gastrointest Endosc 35 (6): 519–522

    Article  PubMed  CAS  Google Scholar 

  18. Whitwam JG (1990) Resedation Acta Anaesthesiol Scand (Suppl 92 ) 34: 70–74

    Article  CAS  Google Scholar 

  19. Dunton AW, Schwam E, Pitman V, McGrath J, Hendler J and Siegel J (1988) Flumazenil: US clinical pharmacology studies. Eur J Anaesthesiol (Suppl 2 ) 81–95

    Google Scholar 

  20. Weinbrum A, Halpern P, Geller E. The use of flumazenil in the management of acute drug posioning - a review, (unpublished)

    Google Scholar 

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© 1991 Springer-Verlag Berlin Heidelberg

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Geller, E. (1991). Report of Workshop on Drugs for Sedation. In: McCloy, R., Davies, A.P. (eds) Quality Control in Endoscopy. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-77138-5_2

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  • DOI: https://doi.org/10.1007/978-3-642-77138-5_2

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-77140-8

  • Online ISBN: 978-3-642-77138-5

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