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10.1055/s-0034-1392511 http://scihub22266oqcxt.onion/10.1055/s-0034-1392511 C4612235!4612235!26528490     free     free     free Warning: file_get_contents(https://eutils.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&id=26528490&cmd=llinks): Failed to open stream: HTTP request failed! 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Morbidity and mortality of endoscopist-directed nurse-administered propofol sedation (EDNAPS) in a tertiary referral center |pdf=|usr=}}{{26528490}} gab.com Text Morbidity and mortality of endoscopist-directed nurse-administered propofol sedation (EDNAPS) in a tertiary referral center JO: Endosc Int Open http://www.kidney.de/pget.php?&tw=1&pmid=26528490 #FOAvip Background and study aims: Endoscopist-Directed Nurse-Administered Propofol Sedation (EDNAPS) has been evaluated in community settings rather than tertiary referral centers.Patients and methods: A hospital-wide prospectively collected database of Medical Emergency Team Calls (METCALL), emergency responses triggered by medically unstable patients, was reviewed. Responses that followed EDNAPS were extracted and compared with a prospectively entered database of all endoscopies performed using EDNAPS over the same period.Results: A total of 33,539 endoscopic procedures (16,393 gastroscopies, 17,146 colonoscopies) were performed on 27,989 patients using EDNAPS. Intravenous drugs included midazolam (0???5?mg), fentanyl (0???100?mcg), and propofol (10???420?mg). Of 23 METCALLs (18 gastroscopies and 5 colonoscopies), there were 16 with ASA scores of III or higher. Indications for gastroscopy were gastrointestinal (GI) hemorrhage (n?=?11; 8 variceal, 3 nonvariceal), dysphagia (n?=?5), PEG removal (n?=?1), and dyspepsia (n?=?1). Fifteen of 22 patients, including all of those who had a colonoscopy, made a full recovery and returned to the ward or were discharged home. In the gastroscopy group, seven were intubated and admitted to Intensive Care, of whom six were emergency cases for gastrointestinal bleeding (n?=?4 variceal, n?=?2 non variceal) and one in which the indication was PEG removal. Two deaths occurred in the intubated group.Conclusions: In a tertiary referral center, EDNAPS for low-to-moderate risk (ASA ??2) patients undergoing gastroscopy and colonoscopy is very safe. Gastroscopy is associated with greater anesthetic risk than colonoscopy and those with high ASA scores needing urgent endoscopy for upper gastrointestinal hemorrhage are at particular risk of cardiorespiratory decompensation. Twit Text FOAVip Morbidity and mortality of endoscopist-directed nurse-administered propofol sedation (EDNAPS) in a tertiary referral center ????Endosc Int Open http://www.kidney.de/pget.php?&tw=1&pmid=26528490 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=26528490 #FOAvip English Wikipedia <ref>{{Cite pmid|26528490}}</ref> Morbidity and mortality of endoscopist-directed nurse-administered propofol sedation (EDNAPS) in a tertiary referral center #MMPMID26528490 Ooi M; Thomson A Endosc Int Open 2015[Oct]; 3 (5): E393-7 PMID26528490show ga Background and study aims: Endoscopist-Directed Nurse-Administered Propofol Sedation (EDNAPS) has been evaluated in community settings rather than tertiary referral centers.Patients and methods: A hospital-wide prospectively collected database of Medical Emergency Team Calls (METCALL), emergency responses triggered by medically unstable patients, was reviewed. Responses that followed EDNAPS were extracted and compared with a prospectively entered database of all endoscopies performed using EDNAPS over the same period.Results: A total of 33,539 endoscopic procedures (16,393 gastroscopies, 17,146 colonoscopies) were performed on 27,989 patients using EDNAPS. Intravenous drugs included midazolam (0???5?mg), fentanyl (0???100?mcg), and propofol (10???420?mg). Of 23 METCALLs (18 gastroscopies and 5 colonoscopies), there were 16 with ASA scores of III or higher. Indications for gastroscopy were gastrointestinal (GI) hemorrhage (n?=?11; 8 variceal, 3 nonvariceal), dysphagia (n?=?5), PEG removal (n?=?1), and dyspepsia (n?=?1). Fifteen of 22 patients, including all of those who had a colonoscopy, made a full recovery and returned to the ward or were discharged home. In the gastroscopy group, seven were intubated and admitted to Intensive Care, of whom six were emergency cases for gastrointestinal bleeding (n?=?4 variceal, n?=?2 non variceal) and one in which the indication was PEG removal. Two deaths occurred in the intubated group.Conclusions: In a tertiary referral center, EDNAPS for low-to-moderate risk (ASA ??2) patients undergoing gastroscopy and colonoscopy is very safe. Gastroscopy is associated with greater anesthetic risk than colonoscopy and those with high ASA scores needing urgent endoscopy for upper gastrointestinal hemorrhage are at particular risk of cardiorespiratory decompensation. äMorbidity and mortality of endoscopist-directed nurse-administered pro(epmc).pdf DeepDyve Pubget Overpricing