Endo-anesthesia:a primer  

作　　者：Fateh Bazerbachi Rodger M.White Nauzer Forbes Basavana Goudra Barham K.Abu Dayyeh Vinay Chandrasekhara BobbieJean Sweitzer 

机构地区：[1]CentraCare,Interventional Endoscopy Program,St.Cloud Hospital,St Cloud,MN,USA [2]Department of Anesthesia,Massachusetts General Hospital,Boston,MA,USA [3]Department of Medicine,Division of Gastroenterology and Hepatology,University of Calgary,Calgary,Alberta,Canada [4]Department of Anesthesiology and Critical Care Medicine,Hospital of the University of Pennsylvania,Philadelphia,PA,USA [5]Division of Gastroenterology and Hepatology,Mayo Clinic,Rochester,MN,USA [6]Systems Director,University of Virginia,Preoperative Medicine,InovaHealth,Falls Church,VA,USA

出　　处：《Gastroenterology Report》2022年第1期207-216,共10页胃肠病学报道（英文）

摘　　要：Gastrointestinal(GI)endoscopy has witnessed a Cambrian explosion of techniques,indications,and expanding target populations.GI endoscopy encompasses traditional domains that include preventive measures,palliation,as alternative therapies in patients with prohibitive risks of more invasive procedures,and indicated primary treatments.But,it has expanded to include therapeutic and diagnostic interventional endosonography,luminal endoscopic resection,third space endotherapy,endohepatology,and endobariatrics.The lines between surgery and endoscopy are blurred on many occasions within this paradigm.Moreover,patients with high degrees of co-morbidity and complex physiology require more nuanced peri-endoscopic management.The rising demand for endoscopy services has resulted in the development of endoscopy referral centers that offer these invasive procedures as directly booked referrals for regional and rural patients.This further necessitates specialized programs to ensure appropriate evaluation,risk stratification,and optimization for safe sedation and general anesthesia if needed.This landscape is conducive to the organic evolution of endo-anesthesia to meet the needs of these focused and evolving practices.In this primer,we delineate important aspects of endo-anesthesia care and provide relevant clinical and logistical considerations pertaining to the breadth of procedures.

关 键 词：endoscopic procedures ENDOSCOPY ANESTHESIA 

分 类 号：R614[医药卫生—麻醉学]