5 Jahre Erfahrungen mit endoskopischen Untersuchungen bei Kindern -Stellenwert bei der Diagnosefindung

Krakamp, B; Am, Holschneider; Bölefahr, H; Leidig, P; Holzki, Josef

doi:10.1055/s-2008-1044124

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Patienten Und Methodik1

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1993

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“…Der endoskopische Arbeitsplatz verfügt über alle Einrichtungen zur medikamentösen Reanimation und künstlichen Beatmung. Daher wird bei Patienten unter 10 Jahren die ÖGD oft generell in Allgemeinnarkose durchgeführt (9,11). Der personelle, apparative und finanzielle Aufwand ist jedoch hoch.…”

Section: Patienten Und Methodikunclassified

Sedierung versus Allgemeinnarkose in der pädiatrischen Endoskopie.

Behrens

Seiler²,

Rupprecht³

et al. 1993

Klin Padiatr

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Upper endoscopy was performed in 567 patients: 237 under general anesthesia, 261 in intravenous sedation with midazolam and etomidat (mean dosage 0.26 mg/kg bodyweight), 69 without any premedication. In these many patients defended strongly and some investigations have to been interrupted. On the other hand general anaesthesia needed much more time and personnel and produced more costs. In our experience sedation with midazolam and etomidat is most comfortable for patient and endoscopist and the time needed is shorter than in general anaesthesia. Therefore we recommend this method even in therapeutic endoscopy, except only in sclerotherapy of esophageal varices.

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Section: Patienten Und Methodikunclassified