Zusammenfassung
Endoskopische Untersuchungen erfordern häufig eine adäquate Sedierung des Patienten
insbesondere bei therapeutischen Interventionen. Hierbei bieten neuere kurzwirksame
Medikamente den Vorteil einer guten Steuerbarkeit der gewünschten Sedierungstiefe,
die abhängig von der Art und dem Umfang der Untersuchung ist. Ein entsprechendes Patientenmonitoring
ist hierbei obligat. Neue Monitoring- und patientengesteuerte Applikationsverfahren,
sowie die Möglichkeit der Sedierung durch nicht ärztliches Assistenzpersonal eröffnen
hier neue Perspektiven zur Minimierung von Komplikationen und der Vereinfachung der
Sedierung, möglichst auch für den ambulanten Bereich.
Abstract
Endoscopic procedures frequently require an appropriate sedation of the patient, especially
during therapeutic interventions. New short acting medications offer the advantage
of a good control concerning the depth of sedation, which depends on the mode and
complexity of the investigation. An appropriate monitoring of the patient is therefore
mandatory. New monitoring- and patient-controlled application procedures and the possibility
of nurse-administered sedation offer new options to minimize complications and to
simplify the application, especially for the outpatient setting.
Schlüsselwörter
Indikation - Sedierungsform - Monitoring - Nachbeobachtung
Key words
Indication - monitoring - medication - follow up
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Prof. Dr. T. Wehrmann
Medizinische Klinik I · Klinikum Hannover-Siloah
Roesebeckstr. 15
30449 Hannover
Phone: 05 11-9 27-22 31
Fax: 05 11-9 26-26 69
Email: twehrmann@hotmail.com
