Die wichtigsten Neuerungen in der aktualisierten S3-Leitlinie Sedierung in der gastrointestinalen Endoskopie der Deutschen Gesellschaft für Gastroenterologie, Verdauungs- und Stoffwechselkrankheiten (DGVS)

Schlüsselwörter

Endoskopie - Analgetika - Sedativa - Adjuvantien - Anästhesie - Monitoring - Überwachung

• Literatur

• 1 Riphaus A, Wehrmann T, Weber B. et al. S3-Leitlinie Sedierung in der gastrointestinalen Endoskopie. Z Gastroenterol 2008; 46: 1298-1330
• 2 Riphaus A, Wehrmann T, Hausmann J. et al. Update S3-Leitlinie: Sedierung in der gastrointestinalen Endoskopie. Z Gastroenterol 2015; 53: 802-842
• 3 Xue M, Tian J, Zhang J. et al. No increased risk of perforation during colonoscopy in patients undergoing propofol versus traditional sedation: A meta-analysis. Indian J Gastroenterol 2018; 37: 86-91
• 4 Radaelli F, Meucci G, Sgroi G. et al. Technical performance of colonoscopy: the key role of sedation/analgesia and other quality indicators. Am J Gastroenterol 2008; 103: 1122-1130
• 5 Crispin A, Birkner B, Munte A. et al. Process quality and incidence of acute complications in a series of more than 230,000 outpatient colonoscopies. Endoscopy 2009; 41: 1018-1025
• 6 Liou SC, Hsu CM, Chen C. et al. Assessment of the Berlin Questionnaire for evaluation of hypoxemia risk in subjects undergoing deep sedation for screening gastrointestinal endoscopy. Therapeutics and Clinical Risk Management 2018; 14: 1331-1336
• 7 Andrade CM, Patel B, Gill J. et al. Safety of Gastrointestinal Endoscopy With Conscious Sedation in Patients With and Without Obstructive Sleep Apnea. J Clin Gastroenterol 2016; 50: 198-201
• 8 Mudambi L, Spiegelman A, Geron D. et al. Obstructive Sleep Apnea Is Not Associated with Higher Health Care Use after Colonoscopy under Conscious Sedation. Ann Am Thorac Soc 2016; 13: 419-424
• 9 Early DS, Lightdale JR, Vargo JJ. et al. Guidelines for sedation and anesthesia in GI endoscopy. Gastrointest Endosc 2018; 87: 327-337
• 10 Wang F, Zhou Q, Shen M. et al. Efficacy and safety of remimazolam in procedural sedation and analgesia: A protocol for systematic review and meta analysis. Medicine (Baltimore) 2020; 99: e20765
• 11 Ye L, Xiao X, Zhu L. The Comparison of Etomidate and Propofol Anesthesia in Patients Undergoing Gastrointestinal Endoscopy: A Systematic Review and Meta-Analysis. Surg Laparosc Endosc Percutan Tech 2017; 27: 1-7
• 12 Nishizawa T, Suzuki H, Sagara S. et al. Dexmedetomidine versus midazolam for gastrointestinal endoscopy: a meta-analysis. Dig Endosc 2015; 27: 8-15
• 13 Nishizawa T, Suzuki H, Hosoe N. et al. Dexmedetomidine vs propofol for gastrointestinal endoscopy: A meta-analysis. United European Gastroenterol J 2017; 5: 1037-1045
• 14 Kim SH, Park M, Lee J. et al. The addition of capnography to standard monitoring reduces hypoxemic events during gastrointestinal endoscopic sedation: a systematic review and meta-analysis. Ther Clin Risk Manag 2018; 14: 1605-1614
• 15 Peveling-Oberhag J, Michael F, Tal A. et al. Capnography monitoring of non-anesthesiologist provided sedation during percutaneous endoscopic gastrostomy placement: A prospective, controlled, randomized trial. J Gastroenterol Hepatol 2020; 35: 401-407
• 16 Holley K, MacNabb CM, Georgiadis P. et al. Monitoring minute ventilation versus respiratory rate to measure the adequacy of ventilation in patients undergoing upper endoscopic procedures. J Clin Monit Comput 2016; 30: 33-39
• 17 Touw HRW, Verheul MH, Tuinman PR. et al. Photoplethysmography respiratory rate monitoring in patients receiving procedural sedation and analgesia for upper gastrointestinal endoscopy. J Clin Monit Comput 2017; 31: 747-754
• 18 Phan AD, Neuschwander A, Perrod G. et al. Noninvasive continuous monitoring versus intermittent oscillometric measurements for the detection of hypotension during digestive endoscopy. PLoS One 2020; 15: e0240241
• 19 Hinkelbein J, Lamperti M, Akeson J. et al. European Society of Anaesthesiology and European Board of Anaesthesiology guidelines for procedural sedation and analgesia in adults. Eur J Anaesthesiol 2018; 35: 6-24
• 20 Sato M, Horiuchi A, Tamaki M. et al. Safety and Effectiveness of Nurse-Administered Propofol Sedation in Outpatients Undergoing Gastrointestinal Endoscopy. Clin Gastroenterol Hepatol 2019; 17: 1098-1104
• 21 Riphaus A, Slottje A, Bulla J. et al. Women awake faster than men after electroencephalogram-monitored propofol sedation for colonoscopy: a prospective observational study. Eur J Anaesthesiol 2017; 34: 681-687