Gastrointestinal endoscopy
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Gastrointest. Endosc. · Dec 2002
Randomized Controlled Trial Comparative Study Clinical TrialEndoscopic placement of nasojejunal tubes: a randomized, controlled, prospective trial comparing suitability and technical success for two different tubes.
Jejunal feeding is an attractive means for delivering nutrients to critically ill patients. Nasojejunal tubes may have different advantages and disadvantages that may have important clinical implications. ⋯ Selection of a nasojejunal tube for endoscopic placement has significant implications with respect to time required for placement, duration of tube usage and the practicability for nursing staff. Diagnostic upper endoscopy performed concomitantly often reveals findings of clinical importance.
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Gastrointest. Endosc. · Dec 2002
Randomized Controlled Trial Clinical TrialElectroencephalogram monitoring facilitates sedation with propofol for routine ERCP: a randomized, controlled trial.
Endoscopy with the patient under sedation with propofol requires careful monitoring of patient consciousness and vital signs to achieve the desired hypnotic effect without overdosage. Because level of consciousness is difficult to judge by clinical observation alone, electroencephalogram monitoring has been used to guide general anesthesia. ⋯ Electroencephalogram monitoring enables more effective titration of propofol dosage for sedation during endoscopy and is, therefore, associated with faster patient recovery.