{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,8,27]],"date-time":"2023-08-27T09:51:58Z","timestamp":1693129918748},"reference-count":17,"publisher":"Akademiai Kiado Zrt.","issue":"48","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2010,11,1]]},"abstract":"<jats:p>A kett\u0151s ballonos enteroszk\u00f3pia elv\u00e9gz\u00e9s\u00e9hez megfelel\u0151 m\u00e9lys\u00e9g\u0171 aneszt\u00e9zia sz\u00fcks\u00e9ges a vizsg\u00e1lat hossza \u00e9s kellemetlens\u00e9ge miatt. A szakirodalom alapj\u00e1n a vizsg\u00e1latokn\u00e1l leggyakrabban \u00e9ber szed\u00e1ci\u00f3t alkalmaznak vil\u00e1gszerte. \n <jats:italic>C\u00e9lkit\u0171z\u00e9s:<\/jats:italic>\n A szerz\u0151k vizsg\u00e1lt\u00e1k, hogy a beavatkoz\u00e1s biztons\u00e1gosan elv\u00e9gezhet\u0151-e intub\u00e1ci\u00f3s nark\u00f3zisban, illetve bizony\u00edtani k\u00edv\u00e1nt\u00e1k, hogy az \u00e1ltal\u00e1nos \u00e9rz\u00e9stelen\u00edt\u00e9s v\u00e1laszthat\u00f3 szed\u00e1l\u00e1si m\u00f3dszer kett\u0151sballon-enteroszk\u00f3pi\u00e1khoz a p\u00e1ciens fizik\u00e1lis \u00e1llapot\u00e1t\u00f3l f\u00fcggetlen\u00fcl. \n <jats:italic>M\u00f3dszer:<\/jats:italic>\n Retrospekt\u00edv vizsg\u00e1latot v\u00e9geztek a Semmelweis Egyetem I. Belgy\u00f3gy\u00e1szati Klinik\u00e1j\u00e1n intub\u00e1ci\u00f3s nark\u00f3zisban kett\u0151sballon-enteroszk\u00f3pi\u00e1n \u00e1tesett betegek k\u00f6r\u00e9ben. A betegeket csoportos\u00edtott\u00e1k nem, kor \u00e9s fizik\u00e1lis st\u00e1tus alapj\u00e1n. Az altat\u00e1si jegyz\u0151k\u00f6nyvben r\u00f6gz\u00edtett\u00e9k az altat\u00e1s hossz\u00e1t, a felhaszn\u00e1lt gy\u00f3gyszerek mennyis\u00e9g\u00e9t \u00e9s az el\u0151fordul\u00f3 aneszteziol\u00f3giai sz\u00f6v\u0151dm\u00e9nyeket. \n <jats:italic>Eredm\u00e9nyek:<\/jats:italic>\n Sz\u00e1znyolc intub\u00e1ci\u00f3s nark\u00f3zis adatait \u00f6sszes\u00edtett\u00e9k. Maradand\u00f3 aneszteziol\u00f3giai sz\u00f6v\u0151dm\u00e9ny nem t\u00f6rt\u00e9nt, a leggyakoribb altat\u00e1si mell\u00e9khat\u00e1sok a hipotenzi\u00f3 (30,55%), a deszatur\u00e1ci\u00f3 (21,29%) \u00e9s az apnoe (17,59%) voltak. Ezek a sz\u00f6v\u0151dm\u00e9nyek szignifik\u00e1nsan gyakoribbak voltak a t\u00f6bb t\u00e1rsbetegs\u00e9ggel rendelkez\u0151 csoportban, viszont gyakoris\u00e1guk nem n\u0151tt a gy\u00f3gyszerek mennyis\u00e9g\u00e9nek n\u00f6veked\u00e9s\u00e9vel vagy a vizsg\u00e1lat hossz\u00e1val. \n <jats:italic>K\u00f6vetkeztet\u00e9sek:<\/jats:italic>\n Vizsg\u00e1latuk meger\u0151s\u00edti, hogy az intub\u00e1ci\u00f3s nark\u00f3zis legfontosabb el\u0151nye m\u00e1s altat\u00e1si m\u00f3dszerekhez k\u00e9pest a stabil l\u00e9g\u00fat biztos\u00edt\u00e1sa, a gyakori sz\u00f6v\u0151dm\u00e9nynek sz\u00e1m\u00edt\u00f3 deszatur\u00e1ci\u00f3 \u00e9s apnoe k\u00f6nny\u0171 elh\u00e1r\u00edthat\u00f3s\u00e1ga, illetve az aspir\u00e1ci\u00f3 megakad\u00e1lyoz\u00e1sa. A t\u00f6bb t\u00e1rsbetegs\u00e9ggel rendelkez\u0151 betegcsoportban az \u00e9szlelt altat\u00e1si sz\u00f6v\u0151dm\u00e9nyek sz\u00e1ma ugyan meredeken n\u00f6vekedett, de ezek intub\u00e1ci\u00f3s nark\u00f3zisban k\u00f6nnyen elh\u00e1r\u00edthat\u00f3ak voltak, ez\u00e9rt ebben a csoportban fokozottan aj\u00e1nlott ez az altat\u00e1si m\u00f3d. A j\u00f3 eg\u00e9szs\u00e9gi \u00e1llapot\u00fa betegcsoportokban a betegek v\u00e1laszt\u00e1sa alapj\u00e1n az \u00e9ber szed\u00e1ci\u00f3 mellett alternat\u00edva lehet az intub\u00e1ci\u00f3s nark\u00f3zis. Orv. Hetil., 2010, \n <jats:italic>48,<\/jats:italic>\n 1976\u20131982.<\/jats:p>","DOI":"10.1556\/oh.2010.28935","type":"journal-article","created":{"date-parts":[[2010,12,8]],"date-time":"2010-12-08T02:04:55Z","timestamp":1291773895000},"page":"1976-1982","source":"Crossref","is-referenced-by-count":2,"title":["General anesthesia during double balloon enteroscopy \u2013 Hungarian experiences"],"prefix":"10.1556","volume":"151","author":[{"given":"L\u00e1szl\u00f3","family":"Zubek","sequence":"first","affiliation":[{"name":"1 Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar Aneszteziol\u00f3giai \u00e9s Intenz\u00edv Ter\u00e1pi\u00e1s Klinika Budapest K\u00fatv\u00f6lgyi \u00fat 4. 1125"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L\u00e9na","family":"Szab\u00f3","sequence":"additional","affiliation":[{"name":"2 Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar II. 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