经内镜逆行性胰胆管造影术镇静麻醉的研究进展

Research Progress of Sedation and Anesthesia in ERCP

经内镜逆行性胰胆管造影术(ERCP)是内镜手术中较为复杂的技术之一,由于无需经开放手术、创伤小、手术时间及恢复时间短等优势,现已成为诊断与治疗胰胆管病变的重要手段。ERCP的镇静麻醉方式由麻醉医师决定,可选择不同程度的镇静或全身麻醉,丙泊酚及右美托咪定是其中重要的基础用药,而气道管理方式也多有不同。由于患者自身疾病危险因素及ERCP围手术期的多种镇静麻醉相关的不良反应,需要提高对镇静麻醉安全性的关注并掌握解决办法。本研究将结合近年的相关文献对ERCP镇静麻醉的研究进展进行阐述。

Endoscopic retrograde cholangiopancreatography(ERCP) is one of the more complex techniques in endoscopic surgery. It has become an important method in the diagnosis and treatment of pancreaticobiliary diseases due to its advantages of no open surgery, small trauma, short operation time and recovery time. The sedation and anesthesia method of ERCP is determined by the anesthesiologist, and different degrees of sedation or general anesthesia can be selected. Propofol and dexmedetomidine are important basic drugs, and the airway management methods are also different. Due to the patient’s own disease risk factors and various adverse reactions related to sedation and anesthesia during the perioperative period of ERCP, it is necessary to increase attention to the safety of sedation and anesthesia and master solutions. This study will describe the research progress of ERCP sedative anesthesia in combination with relevant literature in recent years.