Cardiorespiratory Complications During Moderate and Deep Sedation for Gastrointestinal Endoscopic Procedures

Amornyotin, Somchai

doi:10.5772/52737

Cited by 1 publication

(2 citation statements)

References 27 publications

(30 reference statements)

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“…28 Use of sedation itself may depress innate sympathetic response controlling hemodynamic parameters, resulting in hypotension. 31…”

Section: Hypotensionmentioning

confidence: 99%

“…This severe reaction results in dyspnea and hypotension that can be life-threatening and progresses to anaphylactic shock. 31 Usually these occur soon after drug administration, often within 15 to 20 minutes, and fatal cases have been reported in 5 to 30 minutes. 36,37 For example, very small injection volumes can still produce anaphylaxis; there are reports of anaphylaxis after thrombin injection to treat femoral pseudoaneurysms, evidenced by pruritus, severe shortness of breath edema, and hypotension.…”

Section: Anaphylaxismentioning

confidence: 99%

See 1 more Smart Citation

Hypertensive and Hypotensive Emergencies in Interventional Radiology

Trivedi

Ray

2022

Semin intervent Radiol

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Hyper- and hypotensive emergencies represent some of the most severe clinical issues that can occur during or around an interventional radiology procedure. While some patients are known to be more predisposed to cardiovascular collapse, nearly all patients are at risk for such an outcome. This is particularly true of patients undergoing moderate sedation, with the possibility of cardiovascular compromise occurring not just due to the underlying pathology for which the patient is being treated, but as a complication of sedation itself. Understanding the underlying cause of hyper- or hypotension is paramount to performing an appropriate and timely intervention. While the underlying cause is being corrected—if possible—the changes in blood pressure themselves may need to be intervened upon to maintain cardiovascular stability in these patients. Interventional radiologists must be familiar with measures taken to correct hyper- or hypotensive emergencies, including the most commonly used medications to treat these disorders. This article discusses the most common etiologies of such clinical scenarios, and the most common interventions performed for these settings.

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“…28 Use of sedation itself may depress innate sympathetic response controlling hemodynamic parameters, resulting in hypotension. 31…”

Section: Hypotensionmentioning

confidence: 99%