OXYGEN-SATURATION MONITORING DURING ENDOSCOPY

被引：15

作者：

STEFFES, CP ^{[1
]}

SUGAWA, C ^{[1
]}

WILSON, RF ^{[1
]}

HAYWARD, SR ^{[1
]}

机构：

[1] WAYNE STATE UNIV,DEPT SURG,4201 ST ANTOINE 6C UHC,DETROIT,MI 48201

来源：

SURGICAL ENDOSCOPY-ULTRASOUND AND INTERVENTIONAL TECHNIQUES | 1990年 / 4卷 / 03期

关键词：

Endoscopic complications; Endoscopy; Monitoring; Oxygen saturation;

D O I：

10.1007/BF02336600

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

The role of monitoring during endoscopy is not clearly defined. We have prospectively investigated continuous arterial oxygen saturation (SaO2) monitoring in 326 patients undergoing upper endoscopy (EGD) and 90 undergoing colonoscopy. Automated blood pressure recording was evaluated in 278 of these patients. SaO2 desaturation (<90%) occurred in 17.8% of patients undergoing EGD and 12.9% undergoing colonoscopy. Systolic blood pressure abnormalities (>200 or <90 mmHg) occurred in 19.8% of EGD patients and 19.6% of colonoscopy patients. Treatment based on these abnormalities was required in 4.3% of patients during EGD and 8.8% during colonoscopy. A history of pulmonary or cardiac disease predicted increased risk during colonoscopy, while cardiac disease and age 60 years or above predicted desaturation during EGD. Pulse oximetry and automated blood pressure monitoring was especially valuable during endoscopy in the elderly and patients with cardiac or pulmonary disease. It may be used as a guide to therapeutic intervention and to avert major cardiopulmonary complications. © 1990, Springer-Verlag. All rights reserved.

引用

页码：175 / 178

页数：4

共 17 条

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