Factors associated with abdominal pain in patients submitted to colonoscopy

Bellei, Amanda Colpani; Dacoregio, Daniela Ghizoni; Bianchini, Flávio; Souza, Jaime César Gelosa; Bello, João Martiniano Lamim; Kock, Kaiser de Souza

doi:10.1016/j.jcol.2017.08.003

Cited by 4 publications

(3 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…5 In children, colonoscopy presents an even greater challenge. Achieving and maintaining an adequate level of sedation is difficult, therefore, it is important to set an objective indicator for monitoring the patient sedation level during colonoscopy [8][9][10].…”

Section: Discussionmentioning

confidence: 99%

Use of Bispectral Index (Bis) for Monitoring of Sedation and Total Intravenous Anesthesia (Tiva) in Pediatric Patients Undergoing Colonoscopy

Budić

Djurić²,

Marjanović³

et al. 2022

FU Med Biol

View full text Add to dashboard Cite

The objectives of this study were to determine whether there was a correlation between bispectral index (BIS) and Ramsey Sedation Scale (RSS) in regard to the type of sedation and total intravenous anesthesia (TIVA) during colonoscopy procedures in children, and to assess the utility of ketamine and propofol combination (ketofol) for this kind of procedures at children’s age. In our prospective study, 40 ASA I-II patients, 3 to 17 years of age, were randomly divided into two groups of 20 patients each. After premedication with atropine and midazolam, sedation was induced with propofol and fentanyl in Group PF, whereas in Group PK propofol and ketamine were used for induction. Both groups were further divided into two subgroups depending on whether anesthesia was maintained with intermittent doses or continuous infusion of propofol. Ketamine and/or fentanyl were administered as bolus doses. Heart rate (HR), peripheral oxygen saturation (SpO2), RSS and BIS values of all patients were recorded every 5 minutes throughout the colonoscopy procedures. The strongest degree of correlation between RSS and BIS existed when sedation or TIVA was maintained by the boluses of propofol and fentanyl. The use of ketamine significantly reduced the doses of propofol and fentanyl. BIS can be monitored in all pediatric patients in whom sedation and TIVA are administered during colonoscopy, but the effect of different anesthetics on the EEG signal should be considered in order to adequately assess the depth of sedation and anesthesia.Key words: awareness, monitoring, child, anesthetics, endoscopy

show abstract

Section: Discussionmentioning

confidence: 99%

Use of Bispectral Index (Bis) for Monitoring of Sedation and Total Intravenous Anesthesia (Tiva) in Pediatric Patients Undergoing Colonoscopy

Budić

Djurić²,

Marjanović³

et al. 2022

FU Med Biol

View full text Add to dashboard Cite

show abstract

“…Respiratory gas and heart rate (COSMED Quark CPET, Rome, Italy) were continuously measured during the soccer-specific exercise tests. Ratings of perceived exertion (RPE) were measured every 15 min on the Borg scale [ 17 ], divided into steps 1 to 10 [ 18 ] ( Figure 2 ). Respiratory exchange ratio (RER), CHO oxidation, and fat oxidation were expressed by an equation using the measured oxygen consumption (VO 2 ) and carbon dioxide production (VCO 2 ).…”

Section: Methodsmentioning

confidence: 99%

Effects of the Timing of Carbohydrate Intake on Metabolism and Performance in Soccer Players

Noh,

Oh,

Park

2023

Nutrients

View full text Add to dashboard Cite

This study aims to provide information to improve the performance of athletes comparing the effects of carbohydrate–electrolyte intake before and during exercise on metabolism and performance in soccer players. The study had a single-blind cross-over design. Drust’s protocol is a soccer-specific intermittent exercise test. The carbohydrate–electrolyte intake experiments were divided into three timings: first, pre-exercise; second, half-time; and third, mixed. Eight participants were included in the data analysis (age: 21.32 ± 1.19 years; BMI: 22.69 ± 1.91 kg/m2; height: 176.5 ± 7.52 cm; weight: 69.5 ± 9.18 kg; Vmax: 16.75 0.71 km/h). The results of the mixed test showed a significantly lower respiratory exchange ratio than those of the placebo and half-time tests (p < 0.05). The mixed test showed significantly more fat oxidation than the half-time test (p < 0.05). The running times are placebo (422.13 ± 133.44 s) and mixed (677.38 ± 217.75 s), and the distances are placebo (1577.25 ± 517.02 m) and mixed (2530.00 ± 832.71 m) (p < 0.05). The mixed test showed a significantly lower rating of perceived exertion than the placebo test (p < 0.05). Carbohydrate oxidation and heart rate showed no significant differences between the experiments (p > 0.05). The exercise protocol in this study showed the metabolic response of soccer players to intermittent high-intensity exercise and subsequent endurance exercise. In conclusion, it can be seen that the intake of carbohydrate–electrolytes improves the performance of soccer players, and the effect varies depending on the timing of carbohydrate–electrolyte intake.

show abstract

“…Limitations do exist in the current practice; patient discomfort experienced during colonoscopy is multifactorial. These factors may include gender, abdominal pain indication for colonoscopy, inadequate bowel preparation and high levels of pre-procedure anxiety [4,5]. For those patients who find standard colonoscopy too painful or the existing colon anatomy too challenging for a standard colonoscope, novel robotic technologies could be the technological solution required.…”

Section: Introductionmentioning

confidence: 99%

A review of bioinspired locomotion in lower GI endoscopy

Ahmed,

Franco,

Rodriguez Y. Baena

et al. 2024

Robotica

View full text Add to dashboard Cite

Flexible endoscopy is the gold standard modality for diagnosis and therapeutic intervention of various colorectal conditions. A high bar is currently set for any new technology to replace the current modern colonoscope, but limitations do exist. For a robotic system to gain acceptance, ideally a clear advantage over the established standard needs to be demonstrated. The application of robotic technology inspired by locomotion observed in animals has been demonstrated in many fields including colonoscopy. A myriad of novel concepts has been proposed, which can overcome the anatomical and technical challenges. This review discusses novel and innovative examples of bioinspired robotic locomotion in the colon with a detailed comparison of studies alongside separating the discussion by animal sections of insect, marine and reptile locomotion. We also discuss the current advantages and challenges a bioinspired robot will bring to the colon. Bioinspired robotics in the colon is an exciting field of research with the potential to improve upon current existing high standards of practice in colonoscopy. By addressing areas that the conventional colonoscope is weaker in, studies are demonstrating improvement upon current limitations of standard practice and providing an insight into new methods of engineering and fabrication. Focus on the technological, mechanical and regulatory barriers is key to achieve acceptance into standard practice and will allow the aspiration of a safe, low discomfort, low cost and potentially fully autonomous robotic colonoscope to be not too distant in the future of colonoscopy.

show abstract

Factors associated with abdominal pain in patients submitted to colonoscopy

Cited by 4 publications

References 18 publications

Use of Bispectral Index (Bis) for Monitoring of Sedation and Total Intravenous Anesthesia (Tiva) in Pediatric Patients Undergoing Colonoscopy

Use of Bispectral Index (Bis) for Monitoring of Sedation and Total Intravenous Anesthesia (Tiva) in Pediatric Patients Undergoing Colonoscopy

Effects of the Timing of Carbohydrate Intake on Metabolism and Performance in Soccer Players

A review of bioinspired locomotion in lower GI endoscopy

Contact Info

Product

Resources

About