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Endoscopy is performed safely and effectively in the majority of patients. However, there is a small group of patients in whom endoscopy is not tolerated, particularly when it is prolonged or painful. The introduction of sedative and analgesic medications has led to dramatic changes in practice. The role of sedation during endoscopy includes providing sufficient sedation to achieve patient comfort and being able to reduce patients’ anxiety and pain. This is often best done with benzodiazepines and opioids. However, propofol and dexmedetomidine, which have different pharmacokinetic properties, have been incorporated into endoscopy to achieve sedation and analgesia, which are maintained by continuous infusions rather than boluses. Newer techniques to provide “conscious sedation” require an understanding of the pharmacokinetic and pharmacodynamic properties of these agents, their use in special circumstances, their advantages and disadvantages, and their interpretation. Monitoring of the level of sedation and efficacy of analgesia is essential in those patients who are sedated or have opioid tolerance, overdose, or abuse.tag:blogger.com,1999:blog-2467408182514742223.post5422031594667329157..comments2019-09-10T20:36:46.122-04:00Comments on The B&P: Peach Nugget Puzzle and The Cooking Channel…LisaBianca did an http://www.wellbeingactivity.com/2022/06/07/akelpad-4-1-6-crack-free-download-latest/
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