Rev Esp Enferm Dig
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propofol is a hypnotic used with increasing frequency for sedation during endoscopic procedures. Most of the reports published related with its employment by non-anaesthesiologists, refers to basic endoscopy, with little reference to its use in advanced endoscopy. ⋯ the propofol sedation carried out by non-anaesthesiologist trained staff, seems to appear as a safe and effective procedure while performing percutaneous endoscopic gastrostomy.
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Comparative Study Controlled Clinical Trial
Capnography is superior to pulse oximetry for the detection of respiratory depression during colonoscopy.
Pulse oximetry is a widely accepted procedure for ventilatory monitoring during gastrointestinal endoscopy, but this method provides an indirect measurement of the respiratory function. In addition, detection of abnormal ventilatory activity can be delayed, especially if supplemental oxygen is provided. Capnography offers continuous real-time measurement of expiratory carbon dioxide. ⋯ Apnea or hypoventilation commonly occurs during colonoscopy with sedation. Capnography is more reliable than pulse oximetry in early detection of respiratory depression in this setting.
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Comparative Study
Validity of tests performed to diagnose acute abdominal pain in patients admitted at an emergency department.
To determine the real importance of anamnesis, physical examination, and various tests in the assessment of acute abdominal pain. ⋯ a) Anamnesis and physical examination offer limited accuracy when assessing acute abdomen; b) ultrasound scans offer a low diagnostic agreement index for appendicitis; and c) laparoscopy may prove useful for diagnosis, and is also a possible treatment for acute abdominal pain despite its low diagnostic efficiency.
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Letter Case Reports
[Colonic primary lipoma simulator of an adenocarcinoma].