Anaesthesia and sedation for endoscopic retrograde cholangiopancreatography

被引:2
|
作者
Henriksson, A. M. [1 ]
Thakrar, S. V. [2 ]
机构
[1] Chelsea & Westminster Hosp, Chelsea & Westminster NHS Trust, London, England
[2] Hammersmith Hosp, Queen Charlottes & Chelsea Hosp, Imperial Coll Healthcare Trust, London, England
关键词
Cholangiopancreatography; endoscopic retrograde; conscious sedation; deep sedation; general anaesthesia; patient selection; risk factors; DEEP SEDATION;
D O I
10.1016/j.bjae.2022.04.002
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
Endoscopic retrograde cholangiopancreatography (ERCP) was introduced in 1968 and is now the 'gold standard' for imaging of the biliary tree. The subsequent development of non-invasive diagnostic procedures such as magnetic resonance cholangiopancreatography (MRCP) and endoscopic ultraso-nography (EUS), means that ERCP is now largely reserved for therapeutic rather than diagnostic indications.1 Endoscopic retrograde cholangiopancreatography offers a range of possible interventions for patients, including those deemed at too high risk for surgery. The complexity of ERCP and comorbidities of patients can present challenges to the anaesthetist, which are discussed below.
引用
收藏
页码:372 / 375
页数:4
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