{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T13:17:48Z","timestamp":1747228668131,"version":"3.40.5"},"reference-count":0,"publisher":"Sociedad Argentina de Gastroenterologia","issue":"3","license":[{"start":{"date-parts":[[2024,9,30]],"date-time":"2024-09-30T00:00:00Z","timestamp":1727654400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["ACTA"],"abstract":"<jats:p>Introducci\u00f3n.\u00a0Aplicar sedaci\u00f3n en la endoscopia digestiva, y particularmente en la colangiopancreatograf\u00eda retr\u00f3grada endosc\u00f3pica, mejora la tolerancia al procedimiento y permite al endoscopista realizar la exploraci\u00f3n en mejores condiciones para lograr el efecto diagn\u00f3stico y terap\u00e9utico deseado. El fentanilo y el diazepam se utilizan desde hace a\u00f1os como medicaci\u00f3n intravenosa para la endoscopia del tracto gastrointestinal superior.\u00a0\nObjetivo.\u00a0Evaluar la seguridad de la sedaci\u00f3n con diazepam y fentanilo supervisada por m\u00e9dicos endoscopistas durante la colangiopancreatograf\u00eda retr\u00f3grada endosc\u00f3pica.\u00a0\nMaterial y m\u00e9todos.\u00a0Estudio descriptivo, de corte transversal y prospectivo en pacientes que se realizaron colangiopancreatograf\u00eda retr\u00f3grada endosc\u00f3pica bajo sedaci\u00f3n con diazepam (5 a 15 mg) y fentanilo (25 a 50 \u00b5g) en el per\u00edodo comprendido entre julio de 2014 y junio de 2024. Se registraron la saturaci\u00f3n de ox\u00edgeno en sangre, la presi\u00f3n arterial y la frecuencia card\u00edaca para determinar la presencia de eventos adversos causados por la sedaci\u00f3n.\u00a0\nResultados.\u00a0Se estudiaron 12.686 pacientes con una edad media de 52,5 a\u00f1os. La hipoxemia fue la complicaci\u00f3n m\u00e1s frecuente (85 pacientes; 0,7%), seguida de la bradicardia (54 pacientes; 0,4%) y finalmente la hipotensi\u00f3n arterial (41 pacientes; 0,3%).\u00a0\nConclusiones.\u00a0El diazepam y el fentanilo administrados por un m\u00e9dico endoscopista y una enfermera capacitados representan una alternativa anest\u00e9sica segura para la colangiopancreatograf\u00eda retr\u00f3grada endosc\u00f3pica. Permite realizar los procedimientos fuera del quir\u00f3fano y disminuir de forma considerable los costos.<\/jats:p>","DOI":"10.52787\/agl.v54i3.433","type":"journal-article","created":{"date-parts":[[2024,10,1]],"date-time":"2024-10-01T15:07:12Z","timestamp":1727795232000},"page":"262-267","source":"Crossref","is-referenced-by-count":0,"title":["Sedaci\u00f3n m\u00ednima en la colangiopancreatograf\u00eda retr\u00f3grada endosc\u00f3pica supervisada por m\u00e9dicos endoscopistas: experiencia en pacientes venezolanos"],"prefix":"10.52787","volume":"54","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4544-6965","authenticated-orcid":false,"given":"Yhonny Jos\u00e9","family":"Castillo Arrieta","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4544-6965","authenticated-orcid":false,"given":"Diego Alejandro","family":"Castillo Ayala","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4544-6965","authenticated-orcid":false,"given":"Frank","family":"Figueroa Castillo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4544-6965","authenticated-orcid":false,"given":"Luis Eduardo","family":"Traviezo Valles","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"30608","published-online":{"date-parts":[[2024,9,30]]},"container-title":["Acta Gastroenterol\u00f3gica Latinoamericana"],"original-title":[],"link":[{"URL":"https:\/\/actaojs.org.ar\/ojs\/index.php\/acta\/article\/download\/433\/779","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/actaojs.org.ar\/ojs\/index.php\/acta\/article\/download\/433\/802","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/actaojs.org.ar\/ojs\/index.php\/acta\/article\/download\/433\/802","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,10,3]],"date-time":"2024-10-03T13:30:15Z","timestamp":1727962215000},"score":1,"resource":{"primary":{"URL":"https:\/\/actaojs.org.ar\/ojs\/index.php\/acta\/article\/view\/433"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,9,30]]},"references-count":0,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2024,9,30]]}},"URL":"https:\/\/doi.org\/10.52787\/agl.v54i3.433","relation":{},"ISSN":["2469-1119"],"issn-type":[{"type":"print","value":"2469-1119"}],"subject":[],"published":{"date-parts":[[2024,9,30]]}}}