AIM:To study the safety and effectiveness of propofol sedation for outpatient colonoscopy.METHODS:Propofol was given by bolus injection with an age-adjusted standard protocol consisting of 60 mg for patients < 70 y...AIM:To study the safety and effectiveness of propofol sedation for outpatient colonoscopy.METHODS:Propofol was given by bolus injection with an age-adjusted standard protocol consisting of 60 mg for patients < 70 years old,40 mg for patients age 70-89 years,and 20 mg for those ≥ 90 years,and additional injections of 20 mg propofol were given up to a maximum of 200 mg.The principal parameters were the occurrence of adverse events within 24 h after colonoscopy and overall satisfaction for this procedure.Secondary parameters included successful procedure,respiratory depression,and other complications.RESULTS:Consecutive patients were entered prospectively and all 2101 entered successfully completed outpatient colonoscopy.The mean dose of propofol used was 96.4 mg(range 40-200 mg).Younger patients required higher doses of propofol than older patients(20-40 years vs ≥ 61 years:115.3 ± 32 mg vs 89.7 ± 21 mg,P < 0.001).Transient supplemental oxygen supply was needed by five patients(0.2%);no other complications occurred.The questionnaires were completed by 1820(87%) of 2101 patients and most rated their overall satisfaction as excellent(80%) or good(17%).The majority(65%) of patients drove home or to their office after their colonoscopy.Most(99%) were willing to repeat the same procedure.No incidents occurred within 24 h after colonoscopy.CONCLUSION:Propofol sedation using a dose < 200 mg proved both safe and practical for outpatient colonoscopy.展开更多
一、AIDC概述AIDC(ATS INTER-FACILITY GROUND/GROUND DATA COMMUNICATIONS)是ICAO为亚太地区相邻的飞行管制服务区间制定的数据通信和管制移交的标准协议。在两个配备了具有AIDC功能的自动化系统间利用AIDC进行电子移交可以充分利...一、AIDC概述AIDC(ATS INTER-FACILITY GROUND/GROUND DATA COMMUNICATIONS)是ICAO为亚太地区相邻的飞行管制服务区间制定的数据通信和管制移交的标准协议。在两个配备了具有AIDC功能的自动化系统间利用AIDC进行电子移交可以充分利用系统自动处理能力,降低电话协调的使用,减轻管制员协调工作量,将精力集中于屏幕监控和调配飞行冲突。展开更多
文摘AIM:To study the safety and effectiveness of propofol sedation for outpatient colonoscopy.METHODS:Propofol was given by bolus injection with an age-adjusted standard protocol consisting of 60 mg for patients < 70 years old,40 mg for patients age 70-89 years,and 20 mg for those ≥ 90 years,and additional injections of 20 mg propofol were given up to a maximum of 200 mg.The principal parameters were the occurrence of adverse events within 24 h after colonoscopy and overall satisfaction for this procedure.Secondary parameters included successful procedure,respiratory depression,and other complications.RESULTS:Consecutive patients were entered prospectively and all 2101 entered successfully completed outpatient colonoscopy.The mean dose of propofol used was 96.4 mg(range 40-200 mg).Younger patients required higher doses of propofol than older patients(20-40 years vs ≥ 61 years:115.3 ± 32 mg vs 89.7 ± 21 mg,P < 0.001).Transient supplemental oxygen supply was needed by five patients(0.2%);no other complications occurred.The questionnaires were completed by 1820(87%) of 2101 patients and most rated their overall satisfaction as excellent(80%) or good(17%).The majority(65%) of patients drove home or to their office after their colonoscopy.Most(99%) were willing to repeat the same procedure.No incidents occurred within 24 h after colonoscopy.CONCLUSION:Propofol sedation using a dose < 200 mg proved both safe and practical for outpatient colonoscopy.
文摘一、AIDC概述AIDC(ATS INTER-FACILITY GROUND/GROUND DATA COMMUNICATIONS)是ICAO为亚太地区相邻的飞行管制服务区间制定的数据通信和管制移交的标准协议。在两个配备了具有AIDC功能的自动化系统间利用AIDC进行电子移交可以充分利用系统自动处理能力,降低电话协调的使用,减轻管制员协调工作量,将精力集中于屏幕监控和调配飞行冲突。