内镜逆行性胰胆管造影术的通气策略

Ventilation strategy for endoscopic retrograde cholangiopancreatography

内镜逆行性胰胆管造影术(ERCP)是消化内镜领域中一项重要的内镜技术,早期主要用于诊断胆道疾病,现发展为胆道及胰腺疾病的诊治,与一般内镜治疗比较,其操作时间更长,麻醉风险更大。在镇静/麻醉下行ERCP能增强患者的耐受性,也能为消化内镜医生创造较佳的诊疗条件,但也有发生麻醉相关低氧血症的风险,因此术中气道管理尤为重要。该文结合近年来的相关研究对镇静/麻醉下行ERCP患者的通气策略进行了综述。

Endoscopic retrograde cholangiopancreatography(ERCP)is an important endoscopic technology in the field of digestive endoscopy.It is mainly used to diagnose biliary diseases in the early stage,and now it has developed into the diagnosis and treatment of biliary and pancreatic diseases.Compared with the general endoscopic treatment,its operation time is longer and its anesthesia risk is greater.ERCP under sedation/anesthesia can enhance patients′tolerance and create better diagnosis and treatment conditions for digestive endoscopists,but there is also the risk of anesthesia-related hypoxemia,so airway management during operation is particularly important.In this paper,the ventilation strategies of ERCP patients under sedation/anesthesia were reviewed in combination with the related research in recent years.