Anesthesia in colonoscopy
Colon Polyps and Colorectal Cancer: Second Edition, Springer International Publishing Ag, ss.23-43, 2020
- Yayın Türü: Kitapta Bölüm / Araştırma Kitabı
- Basım Tarihi: 2020
- Doi Numarası: 10.1007/978-3-030-57273-0_2
- Yayınevi: Springer International Publishing Ag
- Sayfa Sayıları: ss.23-43
- Anahtar Kelimeler: Analgesia, Cardiopulmonary resuscitation, Colonoscopy, Complications of sedation, Endoscopy, Intravenous anesthetics, Nonoperating room anesthesia (NORA), Preanesthetic evaluation, Sedation
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Anesthesiologists may face several problems in the gastrointestinal endoscopy units like the difficult-to-access location of the anesthesia equipment and materials, lack of some equipment, restricted area in the endoscopy unit, shared airway or distant location of the airway, unfamiliar environment, different settings, and staff. Colonoscopy, which is usually performed out of the operation room, is one of the most common procedures used for the diagnosis, follow-up, prevention, and treatment of various gastrointestinal disorders. The implementation of colonoscopy under anesthesia enables the prevention of both physical and emotional disturbances, which may be experienced by the patient during the procedure and a significant contribution to the public health depending on the improved motivation of the patient about this invasive intervention. The anesthesiologists should be familiar with the steps of the sedation and analgesia and the pharmacological properties of the used sedative and hypnotic agents and also should be prepared for the unexpected events. The best option for patients with multiple comorbidities and/or poor cooperation, pediatric patients, patients resistant to sedation, and patients with airway problems is the implementation of colonoscopy under the supervision of an anesthesiologist. In this section, we will discuss the anesthetic assessment of the patient before colonoscopy, the required tests, monitoring during the procedure, conditions leading to the difficult airway, anesthetic agents, anesthesia-related complications, and cardiopulmonary resuscitation.