AIM： To analyze the hemodynamic and respiratory effects of propofol on patients undergoing gastroscopy and colonoscopy. METHODS： In this prospective study, conducted over a period of three years, 1,104 patients refe...AIM： To analyze the hemodynamic and respiratory effects of propofol on patients undergoing gastroscopy and colonoscopy. METHODS： In this prospective study, conducted over a period of three years, 1,104 patients referred for a same day GI endoscopy procedure were analyzed. All patients were given a propofol bolus （0.5-1.5 mg/kg）. Arterial blood pressure （BP） was monitored at 3 rain intervals and heart rate and oxygen saturation （SpO2） were recorded continuously by pulse oximetry. Analyzed data acquisition was carried out before, during, and after the procedure. RESULTS： A statistically significant reduction in mean arterial pressure was demonstrated （P〈0.001） when compared to pre-intervention values, but severe hypotension, defined as a systolic blood pressure below 60mmHg, was noted in only 5 patients （0.5%）. Oxygen saturation decreased from 96.5% to 94.4 % （P〈0.001）. A critical decrease in oxygen saturation （〈90%） was documented in 27 patients （2.4%）. CONCLUSION： Our results showed that propofol provided good sedation with excellent pain control, a short recovery time and no significant hemodynamic side effelts if carefully titrated. All the patients （and especially ASA Ⅲ group） require monitoring and care of an anesthesiologist.展开更多
To investigated characteristics, diagnosis, bowel-cleansing preparation, sedation, and colonoscope length and diameter in Japanese pediatric patients receiving total colonoscopy. METHODSThe present study evaluated con...To investigated characteristics, diagnosis, bowel-cleansing preparation, sedation, and colonoscope length and diameter in Japanese pediatric patients receiving total colonoscopy. METHODSThe present study evaluated consecutive patients aged ≤ 15 years who had undergone their first colonoscopy in Kurume University between January 2007 and February 2015. Data were retrospectively analyzed. We identified 110 pediatric patients who had undergone colonoscopy that had reached the cecum, allowing the observation of the total colon. RESULTSHematochezia, abdominal pain, and diarrhea were the most common symptoms. For bowel-cleansing preparation, pediatric patients aged ≤ 12 years were treated with magnesium citrate, and patients aged 13-15 years were treated with polyethylene glycol 4000. For sedation, thiamylal with pentazocine, which has an analgesic effect, was used in patients aged ≤ 6 years, and midazolam with pentazocine was used in patients aged ≥ 7 years. Regarding the choice of endoscope, short and thin endoscopes were selected for younger patients, particularly patients aged ≤ 3 years. Positive diagnoses were made in 78 patients (70.9%). Inflammatory bowel disease (n = 49, 44.5%), including ulcerative colitis (n = 37, 33.6%) and Crohn’s disease (n = 12, 10.9%), was the most common diagnosis. CONCLUSIONColonoscopy offers a high diagnostic capability for pediatric patients with gastrointestinal symptoms. The selection of appropriate management the performance of colonoscopy is important in pediatric patients.展开更多
The largest amount of dairy by-products, especially the whey, comes from the manufacture of cheese. The whey proteins are used in several different industry technologies. The forage production is used for animal feedi...The largest amount of dairy by-products, especially the whey, comes from the manufacture of cheese. The whey proteins are used in several different industry technologies. The forage production is used for animal feeding in the forms of various flours mixed in feeds, and the food industry uses whey proteins as human nutrition, such as different dry soups, infant formulas and supplements. The fat components of whey may inhibit the efficient processing and might impair the use of whey in these technologies. Thus, the aim of the experiment was to investigate a cheap and economical separation of the lipid fraction of whey. This separation method was made by microfiltration, which is an inexpensive, effective and energy efficient method for this task. During the measurements, 0.2 μm and 0.45 μm microfiltration membranes were used in a laboratory tubular membrane filtration module, and the membrane separation method was combined and modified by using astatic mixer and/or air insufflation. The same pore size membranes were used in a vibrating membrane filtration equipment （VSEP）, too. The two different membrane filtration devices allowed the comparison of the effect of vibration and the effect of the static mixer and/or air insufflation. The flux values above 0.2 MPa transmembrane pressures strongly decreased on using the tubular membrane. Therefore, it can be determined that the use of the lower transmembrane pressures gave better flux combined with air insufflation and the use of static mixer. The flux values increased three times higher with using vibration during the microfiltration process than that without vibration. Comparing these methods, it can be concluded that the separation made on tubular membrane （0.2 μm） combined with statics mixer gave sufficient result according to the degreasing, retentions and flux values of the other components.展开更多
基金Supported by "Bates" Clinic, Svetice 15, Zagreb, Croatia, in the form of grant, equipment and drugs
文摘AIM： To analyze the hemodynamic and respiratory effects of propofol on patients undergoing gastroscopy and colonoscopy. METHODS： In this prospective study, conducted over a period of three years, 1,104 patients referred for a same day GI endoscopy procedure were analyzed. All patients were given a propofol bolus （0.5-1.5 mg/kg）. Arterial blood pressure （BP） was monitored at 3 rain intervals and heart rate and oxygen saturation （SpO2） were recorded continuously by pulse oximetry. Analyzed data acquisition was carried out before, during, and after the procedure. RESULTS： A statistically significant reduction in mean arterial pressure was demonstrated （P〈0.001） when compared to pre-intervention values, but severe hypotension, defined as a systolic blood pressure below 60mmHg, was noted in only 5 patients （0.5%）. Oxygen saturation decreased from 96.5% to 94.4 % （P〈0.001）. A critical decrease in oxygen saturation （〈90%） was documented in 27 patients （2.4%）. CONCLUSION： Our results showed that propofol provided good sedation with excellent pain control, a short recovery time and no significant hemodynamic side effelts if carefully titrated. All the patients （and especially ASA Ⅲ group） require monitoring and care of an anesthesiologist.
文摘To investigated characteristics, diagnosis, bowel-cleansing preparation, sedation, and colonoscope length and diameter in Japanese pediatric patients receiving total colonoscopy. METHODSThe present study evaluated consecutive patients aged ≤ 15 years who had undergone their first colonoscopy in Kurume University between January 2007 and February 2015. Data were retrospectively analyzed. We identified 110 pediatric patients who had undergone colonoscopy that had reached the cecum, allowing the observation of the total colon. RESULTSHematochezia, abdominal pain, and diarrhea were the most common symptoms. For bowel-cleansing preparation, pediatric patients aged ≤ 12 years were treated with magnesium citrate, and patients aged 13-15 years were treated with polyethylene glycol 4000. For sedation, thiamylal with pentazocine, which has an analgesic effect, was used in patients aged ≤ 6 years, and midazolam with pentazocine was used in patients aged ≥ 7 years. Regarding the choice of endoscope, short and thin endoscopes were selected for younger patients, particularly patients aged ≤ 3 years. Positive diagnoses were made in 78 patients (70.9%). Inflammatory bowel disease (n = 49, 44.5%), including ulcerative colitis (n = 37, 33.6%) and Crohn’s disease (n = 12, 10.9%), was the most common diagnosis. CONCLUSIONColonoscopy offers a high diagnostic capability for pediatric patients with gastrointestinal symptoms. The selection of appropriate management the performance of colonoscopy is important in pediatric patients.
文摘The largest amount of dairy by-products, especially the whey, comes from the manufacture of cheese. The whey proteins are used in several different industry technologies. The forage production is used for animal feeding in the forms of various flours mixed in feeds, and the food industry uses whey proteins as human nutrition, such as different dry soups, infant formulas and supplements. The fat components of whey may inhibit the efficient processing and might impair the use of whey in these technologies. Thus, the aim of the experiment was to investigate a cheap and economical separation of the lipid fraction of whey. This separation method was made by microfiltration, which is an inexpensive, effective and energy efficient method for this task. During the measurements, 0.2 μm and 0.45 μm microfiltration membranes were used in a laboratory tubular membrane filtration module, and the membrane separation method was combined and modified by using astatic mixer and/or air insufflation. The same pore size membranes were used in a vibrating membrane filtration equipment （VSEP）, too. The two different membrane filtration devices allowed the comparison of the effect of vibration and the effect of the static mixer and/or air insufflation. The flux values above 0.2 MPa transmembrane pressures strongly decreased on using the tubular membrane. Therefore, it can be determined that the use of the lower transmembrane pressures gave better flux combined with air insufflation and the use of static mixer. The flux values increased three times higher with using vibration during the microfiltration process than that without vibration. Comparing these methods, it can be concluded that the separation made on tubular membrane （0.2 μm） combined with statics mixer gave sufficient result according to the degreasing, retentions and flux values of the other components.
