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Array ( [id] => 1052 [catid] => 39 [title] => British Society of Gastroenterology guidelines on sedation in gastrointestinal endoscopy [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => /show/1052.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:22:44 [updatetime] => 2024-01-11 15:22:44 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://guide.medlive.cn/guideline/30000 [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2023 [guojia] => British Society of Gastroenterology [pdf] => [tjyjyw] => [lyyw] => We recommend that patient experience of comfort and sedation should be measured and recorded.（Evidence level: Low；Recommendation grade:Strong). [laiyuan] => 推荐对患者的舒适度和镇静进行测量和记录。(证据等级:低;推荐强度:强推荐) [znzldj] => B [_inputtime] => 1704957764 [_updatetime] => 1704957764 [_nrjc] => [_nrsh] => )
推荐意见
推荐对患者的舒适度和镇静进行测量和记录。(证据等级:低;推荐强度:强推荐)

We recommend that patient experience of comfort and sedation should be measured and recorded.（Evidence level: Low；Recommendation grade:Strong).

证据评价方法：GRADE

指南质量等级：B

年份：2023

国家：British Society of Gastroenterology

来源 British Society of Gastroenterology guidelines on sedation in gastrointestinal endoscopy
原文链接
阅读
Array ( [id] => 1053 [catid] => 27 [title] => British Society of Gastroenterology guidelines on sedation in gastrointestinal endoscopy [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => /show/1053.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:22:44 [updatetime] => 2024-01-11 15:22:44 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://guide.medlive.cn/guideline/30000 [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2023 [guojia] => British Society of Gastroenterology [pdf] => [tjyjyw] => [lyyw] => We recommend the use of non-pharmacological interventions, such as auditory or visual distraction, to reduce patient anxiety（Evidence level: Moderate；Recommendation grade:Moderate). [laiyuan] => 推荐使用非药物干预措施，如听觉或视觉转移以减轻患者的焦虑。(证据等级:中;推荐强度:中等推荐) [znzldj] => B [_inputtime] => 1704957764 [_updatetime] => 1704957764 [_nrjc] => [_nrsh] => )
推荐意见
推荐使用非药物干预措施，如听觉或视觉转移以减轻患者的焦虑。(证据等级:中;推荐强度:中等推荐)

We recommend the use of non-pharmacological interventions, such as auditory or visual distraction, to reduce patient anxiety（Evidence level: Moderate；Recommendation grade:Moderate).

证据评价方法：GRADE

指南质量等级：B

年份：2023

国家：British Society of Gastroenterology

来源 British Society of Gastroenterology guidelines on sedation in gastrointestinal endoscopy
原文链接
阅读
Array ( [id] => 1054 [catid] => 26 [title] => British Society of Gastroenterology guidelines on sedation in gastrointestinal endoscopy [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => /show/1054.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:22:44 [updatetime] => 2024-01-11 15:22:44 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://guide.medlive.cn/guideline/30000 [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2023 [guojia] => British Society of Gastroenterology [pdf] => [tjyjyw] => [lyyw] => To reduce the risk of sedation-related complications, we recommend pre-assessment to balance the indication and intended aim of the procedure against the physical status of the patient.（Evidence level: Moderate；Recommendation grade:Strong). [laiyuan] => 为了降低镇静相关并发症的风险，我们建议进行预评估，在操作的适应证和预期目的与患者身体状况之间取得平衡（证据等级:中;推荐强度:强推荐） [znzldj] => B [_inputtime] => 1704957764 [_updatetime] => 1704957764 [_nrjc] => [_nrsh] => )
推荐意见
为了降低镇静相关并发症的风险，我们建议进行预评估，在操作的适应证和预期目的与患者身体状况之间取得平衡（证据等级:中;推荐强度:强推荐）

To reduce the risk of sedation-related complications, we recommend pre-assessment to balance the indication and intended aim of the procedure against the physical status of the patient.（Evidence level: Moderate；Recommendation grade:Strong).

证据评价方法：GRADE

指南质量等级：B

年份：2023

国家：British Society of Gastroenterology

来源 British Society of Gastroenterology guidelines on sedation in gastrointestinal endoscopy
原文链接
阅读
Array ( [id] => 1055 [catid] => 26 [title] => British Society of Gastroenterology guidelines on sedation in gastrointestinal endoscopy [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => /show/1055.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:22:44 [updatetime] => 2024-01-11 15:22:44 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://guide.medlive.cn/guideline/30000 [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2023 [guojia] => British Society of Gastroenterology [pdf] => [tjyjyw] => [lyyw] => In patients with obstructive sleep apnoea (OSA) and/or a high body mass index (BMI) (≥35 kg/m2) we recommend pre-assessment and enhanced periprocedural monitoring as these patients may be at an increased risk of periprocedural apnoea。（Evidence level: Low；Recommendation grade:Strong). [laiyuan] => 对于阻塞性睡眠呼吸暂停(OSA)和/或高体重指数(BMI)(≥35 kg/m2)的患者，我们建议进行预评估和加强围手术期监测，因为这些患者围手术期呼吸暂停的风险可能增加。(证据等级:低;推荐强度:强推荐) 。 [znzldj] => B [_inputtime] => 1704957764 [_updatetime] => 1704957764 [_nrjc] => [_nrsh] => )
推荐意见
对于阻塞性睡眠呼吸暂停(OSA)和/或高体重指数(BMI)(≥35 kg/m2)的患者，我们建议进行预评估和加强围手术期监测，因为这些患者围手术期呼吸暂停的风险可能增加。(证据等级:低;推荐强度:强推荐) 。

In patients with obstructive sleep apnoea (OSA) and/or a high body mass index (BMI) (≥35 kg/m2) we recommend pre-assessment and enhanced periprocedural monitoring as these patients may be at an increased risk of periprocedural apnoea。（Evidence level: Low；Recommendation grade:Strong).

证据评价方法：GRADE

指南质量等级：B

年份：2023

国家：British Society of Gastroenterology

来源 British Society of Gastroenterology guidelines on sedation in gastrointestinal endoscopy
原文链接
阅读
Array ( [id] => 1056 [catid] => 31 [title] => British Society of Gastroenterology guidelines on sedation in gastrointestinal endoscopy [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => /show/1056.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:22:44 [updatetime] => 2024-01-11 15:22:44 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://guide.medlive.cn/guideline/30000 [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2023 [guojia] => British Society of Gastroenterology [pdf] => [tjyjyw] => [lyyw] => We recommend that all patients undergoing gastrointestinal endoscopy (sedated or unsedated) have monitoring of pulse, blood pressure, oxygen saturations and respiration rates as a minimum before and after the procedure. We recommend supplemental oxygen where any level of sedation is used.（Evidence level: Very Low；Recommendation grade:Strong). [laiyuan] => 推荐所有接受胃肠道内窥镜检查的患者（镇静或非镇静）在手术前后至少监测脉搏、血压、血氧饱和度和呼吸频率。推荐在使用任何程度的镇静剂时都要吸氧。(证据等级:极低;推荐强度:强推荐) [znzldj] => B [_inputtime] => 1704957764 [_updatetime] => 1704957764 [_nrjc] => [_nrsh] => )
推荐意见
推荐所有接受胃肠道内窥镜检查的患者（镇静或非镇静）在手术前后至少监测脉搏、血压、血氧饱和度和呼吸频率。推荐在使用任何程度的镇静剂时都要吸氧。(证据等级:极低;推荐强度:强推荐)

We recommend that all patients undergoing gastrointestinal endoscopy (sedated or unsedated) have monitoring of pulse, blood pressure, oxygen saturations and respiration rates as a minimum before and after the procedure. We recommend supplemental oxygen where any level of sedation is used.（Evidence level: Very Low；Recommendation grade:Strong).

证据评价方法：GRADE

指南质量等级：B

年份：2023

国家：British Society of Gastroenterology

来源 British Society of Gastroenterology guidelines on sedation in gastrointestinal endoscopy
原文链接
阅读
Array ( [id] => 1057 [catid] => 31 [title] => British Society of Gastroenterology guidelines on sedation in gastrointestinal endoscopy [thumb] => [keywords] => [description] => [hits] => 1 [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => /show/1057.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:22:44 [updatetime] => 2024-01-11 15:22:44 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://guide.medlive.cn/guideline/30000 [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2023 [guojia] => British Society of Gastroenterology [pdf] => [tjyjyw] => [lyyw] => ECG monitoring is not recommended routinely for patients requiring GI endoscopy with minimal sedation .（Evidence level: Very Low；Recommendation grade:Strong). [laiyuan] => 对于需要进行胃肠镜检查的患者，在最低限度镇静的情况下，不推荐常规进行心电监护。(证据等级:极低;推荐强度:强推荐) [znzldj] => B [_inputtime] => 1704957764 [_updatetime] => 1704957764 [_nrjc] => [_nrsh] => )
推荐意见
对于需要进行胃肠镜检查的患者，在最低限度镇静的情况下，不推荐常规进行心电监护。(证据等级:极低;推荐强度:强推荐)

ECG monitoring is not recommended routinely for patients requiring GI endoscopy with minimal sedation .（Evidence level: Very Low；Recommendation grade:Strong).

证据评价方法：GRADE

指南质量等级：B

年份：2023

国家：British Society of Gastroenterology

来源 British Society of Gastroenterology guidelines on sedation in gastrointestinal endoscopy
原文链接
阅读1
Array ( [id] => 1058 [catid] => 31 [title] => British Society of Gastroenterology guidelines on sedation in gastrointestinal endoscopy [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => /show/1058.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:22:44 [updatetime] => 2024-01-11 15:22:44 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://guide.medlive.cn/guideline/30000 [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2023 [guojia] => British Society of Gastroenterology [pdf] => [tjyjyw] => [lyyw] => We recommend that where the endoscopist-sedationist administers sedation and also performs the procedure, there must be at least an appropriately trained second member of the team solely monitoring the patient’s status. （Evidence level: Low；Recommendation grade:Strong). [laiyuan] => 我们建议，当内镜医师兼镇静医师实施镇静和操作时，必须有至少一名经过适当培训的第二名团队成员单独监测患者状态。（证据等级:低；推荐强度:强推荐） [znzldj] => B [_inputtime] => 1704957764 [_updatetime] => 1704957764 [_nrjc] => [_nrsh] => )
推荐意见
我们建议，当内镜医师兼镇静医师实施镇静和操作时，必须有至少一名经过适当培训的第二名团队成员单独监测患者状态。（证据等级:低；推荐强度:强推荐）

We recommend that where the endoscopist-sedationist administers sedation and also performs the procedure, there must be at least an appropriately trained second member of the team solely monitoring the patient’s status. （Evidence level: Low；Recommendation grade:Strong).

证据评价方法：GRADE

指南质量等级：B

年份：2023

国家：British Society of Gastroenterology

来源 British Society of Gastroenterology guidelines on sedation in gastrointestinal endoscopy
原文链接
阅读
Array ( [id] => 1059 [catid] => 39 [title] => British Society of Gastroenterology guidelines on sedation in gastrointestinal endoscopy [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => /show/1059.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:22:44 [updatetime] => 2024-01-11 15:22:44 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://guide.medlive.cn/guideline/30000 [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2023 [guojia] => British Society of Gastroenterology [pdf] => [tjyjyw] => [lyyw] => We recommend that an accurate, contemporaneous record of all drugs is completed and becomes part of the patient record and endoscopy report. This should include additional drugs (eg,hyoscine) used to assist endoscopy. （Evidence level: Very Low ；Recommendation grade:Strong). [laiyuan] => 我们建议完成所有药物的准确、同期记录，并成为患者记录和内镜报告的一部分。这应该包括用于辅助内窥镜检查的其他药物（如东莨菪碱）。（证据等级：极低；推荐强度：强推荐） [znzldj] => B [_inputtime] => 1704957764 [_updatetime] => 1704957764 [_nrjc] => [_nrsh] => )
推荐意见
我们建议完成所有药物的准确、同期记录，并成为患者记录和内镜报告的一部分。这应该包括用于辅助内窥镜检查的其他药物（如东莨菪碱）。（证据等级：极低；推荐强度：强推荐）

We recommend that an accurate, contemporaneous record of all drugs is completed and becomes part of the patient record and endoscopy report. This should include additional drugs (eg,hyoscine) used to assist endoscopy. （Evidence level: Very Low ；Recommendation grade:Strong).

证据评价方法：GRADE

指南质量等级：B

年份：2023

国家：British Society of Gastroenterology

来源 British Society of Gastroenterology guidelines on sedation in gastrointestinal endoscopy
原文链接
阅读
Array ( [id] => 1060 [catid] => 31 [title] => British Society of Gastroenterology guidelines on sedation in gastrointestinal endoscopy [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => /show/1060.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:22:44 [updatetime] => 2024-01-11 15:22:44 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://guide.medlive.cn/guideline/30000 [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2023 [guojia] => British Society of Gastroenterology [pdf] => [tjyjyw] => [lyyw] => We recommend that for patients undergoing endoscopy under deep sedation (propofol) or general anaesthetic, ECG, automated non-invasive blood pressure, capnography and core body temperature should be monitored and recorded.（Evidence level: Low；Recommendation grade:Strong). [laiyuan] => 建议在深度镇静(丙泊酚)或全身麻醉下行内镜检查的患者，应监测并记录心电图、自动无创血压、二氧化碳图和核心体温（证据等级：低；推荐强度：强推荐） [znzldj] => B [_inputtime] => 1704957764 [_updatetime] => 1704957764 [_nrjc] => [_nrsh] => )
推荐意见
建议在深度镇静(丙泊酚)或全身麻醉下行内镜检查的患者，应监测并记录心电图、自动无创血压、二氧化碳图和核心体温（证据等级：低；推荐强度：强推荐）

We recommend that for patients undergoing endoscopy under deep sedation (propofol) or general anaesthetic, ECG, automated non-invasive blood pressure, capnography and core body temperature should be monitored and recorded.（Evidence level: Low；Recommendation grade:Strong).

证据评价方法：GRADE

指南质量等级：B

年份：2023

国家：British Society of Gastroenterology

来源 British Society of Gastroenterology guidelines on sedation in gastrointestinal endoscopy
原文链接
阅读
Array ( [id] => 1061 [catid] => 31 [title] => British Society of Gastroenterology guidelines on sedation in gastrointestinal endoscopy [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => /show/1061.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:22:44 [updatetime] => 2024-01-11 15:22:44 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://guide.medlive.cn/guideline/30000 [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2023 [guojia] => British Society of Gastroenterology [pdf] => [tjyjyw] => [lyyw] => We recommend governance oversight of the process of sedation for endoscopy.（Evidence level: Very Low；Recommendation grade:Strong). [laiyuan] => 推荐对内窥镜检查的镇静过程进行管理监督。（证据等级：极低；推荐强度：强推荐） [znzldj] => B [_inputtime] => 1704957764 [_updatetime] => 1704957764 [_nrjc] => [_nrsh] => )
推荐意见
推荐对内窥镜检查的镇静过程进行管理监督。（证据等级：极低；推荐强度：强推荐）

We recommend governance oversight of the process of sedation for endoscopy.（Evidence level: Very Low；Recommendation grade:Strong).

证据评价方法：GRADE

指南质量等级：B

年份：2023

国家：British Society of Gastroenterology

来源 British Society of Gastroenterology guidelines on sedation in gastrointestinal endoscopy
原文链接
阅读

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