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- W2382913966 abstract "Objective To approach the feasibility of applying the monitored anesthesia care technique in small intestinal endoscopy.Methods 164 patients under small intestinal endoscopy were randomly divided into two groups:A MAC group(n =80)and B control group(n =84).Each patients of the two groups was given atropine 0.5 mg i.m at 30 minutes before examination.The patients of MAC group were intravenous injecting Midazolam(0.05～0.08 mg/kg),Fentanyl(0.05～0.10 mg)and propofol(3～6 mg/kg·h)slowly,and they did not receive small intestinal endoscopy until their lash reflex disappeared,then pumped propofol(3～6 mg/kg·h)during examination,and were boosted Fentanyl 0.05 mg each time properly during examination according to the time of examination and their responses.The patients of control group were received examination routinely.All the patients were inhalating oxygen through nasal catheter and monitored Bp,HR,SpO2,and R every five minutes during examination.Applying Ramsay and the observers' assessment of alertness/sedation scale,record the operating time of the small intestinal endoscopy and the time from the examination to the patients opening their eyes.Observe for 30 minutes after examination,inquire the patients whether they felt dizziness,drowsiness,tiredness or not and their feeling of examination(unbearable,uncomfortable obviously,uncomfortable slightly and comfortable).Results All patients of MAC group completed the small intestinal endoscopy successfully,and none felt uncomfortable and they were calm during the examination,and they had no memory of the examination.The patients of control group were vomiting(65.4%),restless(79.7%)and abdominal distension and pain(31.5%).The time of examination of MAC group was shorter than that of control group obviously.The blood pressure and heart rate of the patients of control group stepped up obviously during examination.Conclusion MAC applying to small intestinal endoscopy can ease patients' complaint significantly.It is safe,effective and with good clinical effect." @default.
- W2382913966 created "2016-06-24" @default.
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- W2382913966 date "2007-01-01" @default.
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- W2382913966 title "Research of applying the monitored anesthesia care technique in small intestinal endoscopy" @default.
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