Read e-book online Endoscopic Ultrasonography PDF

By Frank G. Gress, Thomas J. Savides

ISBN-10: 1405157224

ISBN-13: 9781405157223

are looking to the best way to use EUS within the remedy of pancreatic cysts?

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There were dramatic alterations due to the fact that endoscopic ultrasound (EUS) used to be first brought 30 years in the past. Advances in know-how have intended that in addition to getting used within the analysis of gastrointestinal issues, EUS is now an accredited healing modality. This moment version covers those interesting adjustments with new chapters at the rising box of healing EUS.

The e-book presents a technical how-to method of studying this complex endoscopic process. The authors advisor you, step by step, throughout the basics of EUS with directions on:

- the tools concerned

- sedation techniques

- how EUS will be played

Each bankruptcy discusses a particular element of EUS because it pertains to a specific gastrointestinal sickness or organ process. Drawing at the gigantic adventure of the authors, this definitive quantity comprises transparent and functional counsel at the cutting-edge in EUS perform this day.

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Sample text

The presence of conditions such as neurological disorders and cardiopulmonary diseases including sleep apnea, chronic obstructive pulmonary disease or coronary artery disease should be noted as part of this assessment. Prior adverse reactions to anesthesia, medication allergies, and a history of drug or alcohol abuse should also be ascertained. In addition, each patient should be risk stratified based on the American Society of Anesthesiologists (ASA) physical status classification system. Consideration should be made for employing anesthesia assistance in sedating ASA class IV or V patients, those who have previously failed conscious sedation, or patients who have had an adverse reaction to sedation.

Gress and T. J. Savides © 2009 Blackwell Publishing Limited. ISBN: 978-1-405-15722-3 additional antibiotic therapy [11]. Wildi et al. reported infection of a mediastinal cyst with beta-hemolytic Streptococcus C after EUS-FNA was performed without prior antibiotic administration; in contrast, infection was not reported in the three other patients in this series who received antibiotics prior to EUS-FNA of mediastinal cysts as well as after the procedure [8]. Candidal infection has also been described after EUS-FNA of a mediastinal foregut cyst [9].

Additional doses may be necessary since both meperidine and fentanyl have a longer half-life than does naloxone. Adjuncts to benzodiazepines and opiates Several agents have been studied to potentiate the effects of benzodiazepines and opiates. Diphenhydramine, a histamine-1 antagonist, has central nervous system depressive effects at higher doses, theoretically making it a useful adjunct to benzodiazepines and opiates. Although it has not been formally studied in the setting of EUS, one trial using 50 mg of diphenhydramine intravenously or placebo in addition to midazolam and meperidine for colonoscopy showed improved patient sedation and amnesia in the diphenhydramine group [37].

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Endoscopic Ultrasonography by Frank G. Gress, Thomas J. Savides

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