Fentanyl for sedation during upper gastrointestinal endoscopy
Autor: | Tetsuya Inatome, Katsuhito Nishiyama, Tsutomu Chiba, Takashi Yano, Yoshikazu Kinoshita, Masahide Tojo, Hisashi Fukuzaki, Satoshi Ishido, Naoto Kitajima, Toshio Itoh |
---|---|
Rok vydání: | 1992 |
Předmět: |
Adult
Hydrocortisone medicine.drug_class Sedation medicine.medical_treatment Conscious Sedation chemistry.chemical_element Electrocardiographic Change Oxygen Endoscopy Gastrointestinal Fentanyl medicine Humans Radiology Nuclear Medicine and imaging Chemotherapy medicine.diagnostic_test business.industry Hemodynamics Gastroenterology Endoscopy Blood pressure chemistry Sedative Anesthesia Injections Intravenous medicine.symptom business medicine.drug |
Zdroj: | Gastrointestinal Endoscopy. 38:689-692 |
ISSN: | 0016-5107 |
Popis: | The effects of sedation by intravenous fentanyl on the rate-pressure product (pulse rate x systolic blood pressure/100), arterial oxygen saturation, electrocardiographic change, and serum cortisol concentration were studied during gastroduodenoscopy in 84 patients randomized to receive fentanyl or no intravenous sedative (controls). Fentanyl administration increased the tolerance of patients and attenuated the endoscopy-induced rise in rate-pressure product and serum cortisol concentration. Desaturation of arterial oxygen was minimal and there was no difference in arterial oxygen saturation between the fentanyl group and the control group. Therefore, fentanyl appears to be a favorable sedative for upper gastrointestinal endoscopy, since its administration increased the tolerance of patients and decreased cardiac oxygen consumption. |
Databáze: | OpenAIRE |
Externí odkaz: |