Anesthesia and sedation in pediatric gastrointestinal endoscopic procedures: A review

The value of Integrated Pulmonary Index (IPI) monitoring during endoscopies in children

“…Guidelines for patient monitoring during endoscopic procedures in children and adults have been developed by several professional medical societies [1,[3][4][5]. The current guidelines call for continuous monitoring of the patient's hemodynamic and ventilatory status and of the patient's consciousness, to facilitate the recognition of adverse events occurring during the procedure and thus reduce the risk of adverse outcomes associated with sedation/analgesia [6].…”

The smart respiratory monitoring integrated pulmonary index: An overview of the literature

“…Bu nedenle hastalar hem görsel olarak hem de fizyolojik parametreleri ölçebildiğimiz cihazlarla takip edilmelidir 13 . Bu hastalarda özellikle ilave oksijen desteği de uygulandığında tek başına pulse oksimetri ile alveoler hipoventilasyonun zamanında fark edilmesi güç olmaktadır 2,3 . Bu yüzden sedasyon uygulamalarında arteriyel oksijenasyonu monitörize etmek için pulse oksimetri ve ventilasyonu değerlendirmek için de kapnografın birlikte kullanılması önerilmektedir 1,[14][15][16][17][18][19] .…”

Propofol-alfentanyl versus midazolam-alfentanyl in inducing procedural amnesia of upper gastrointestinal endoscopy in children—blind randomised trial

“…According to the American Academy of Pediatrics, the goals of sedation during diagnostic and therapeutic procedures in children are as follows: (1) to guard the patient's safety and welfare, (2) to minimise physical discomfort or pain, (3) to minimise negative psychological responses to treatment, (4) to control behaviour, and (5) to return the patient to the state in which safe discharge is possible [6]. The choice of the method of sedation is a matter of the endoscopist's judgment and except for the patient's condition, costs and personal preferences is dependent on local anaesthesiologists' availability, traditions, and personal experience.…”