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第58卷 第3期 2025-5
Elevating the standards of scientific editing in clinical surgery: Learning from editorial and journal role models

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第58卷 第3期 2025-5
Improving online physician evaluations for surgeons using sentiment analysis and alternative perspectives

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Ensuring ethical and qualified authorship: The key to trustworthiness in clinical surgery journal

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Artificial intelligence for academic purpose in clinic surgery: ChatGPT, Turnitin, and false positive

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COVID-19, COVID-19 vaccination, risk of cardiac myxoma in view of clinical surgery

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Eggplant deformity in penile fracture

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Splenectomy for Klippel-Trenaunay syndrome: Systematic review and case series

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Comments on “Risk factors for spinal cord injury without radiographic abnormality in trauma cases at a single trauma center”

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Impact of fluorescence-guided surgery on splenic preservation: A case of splenic hydatidosis

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Adult pancreatoblastoma presentingwith obstructive jaundice: A case report and literature review

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Pilonidal disease management in young adults: A retrospective analysis of practices in a single tertiary center in Bahrain

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Long-term comparative outcomes in patients undergoing transcatheter aortic valve implantation with self-expanding valves versus balloon-expandable valves: A retrospective observational study

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Comparative study between the effectiveness of Amnion-CollaGee (Collagen-Gelatin-Elastin) as a biological product wound dressing and conventional dressing on the donor site of the split-thickness skin graft in animals model (rats)

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第58卷 第3期 2025-5
Enhancing mortality Probability Model II predictive accuracy with the lethal triad in intensive care unit trauma patients: A retrospective study

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第58卷 第3期 2025-5
Dr. Shao-Wei Chen's contribution to analysis of outcomes of patients undergoing cardiac surgery and aortic disease: Big data analytics

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第58卷 第2期 2025-3
Predatory publisher and low standard journal: An emerging problem in clinical surgery field

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第58卷 第2期 2025-3
Conflict of interest in clinical surgery: Contemporary concern in digital era

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Postpublication redecision and pitfalls of inadequate standards in scientific surgical journals: Important consideration in academic publication

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Spontaneous bilateral basal ganglia hemorrhage

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Academic characterization of the Formosan Journal of Surgery: A five-year bibliometric analysis

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篇名 Necessity of Sedation and Monitoring for Colonoscopy
作者 Tzu-Chi Hsu, Ming-Jen Chen
卷期/出版年月 37卷2期 (2004/4)
頁次 59-63
摘要 Purpose: Routine use of sedation and monitoring during colonoscopy has been controversial. Advantages should be judged against their disadvantages. This is a retrospective study of a single endoscopist s experience comparing routine and selective use of sedation and monitoring. Materials and Methods: From September 1997 to August 2001, 1310 patients received total colonoscopy with 317 patients receiving polypectomies simultaneously. There were 666 males and 644 females. The average age was 49.7 years old. Patients who had less than a total colonoscopy were excluded. Chi-square test was used to analyze the difference between groups. P < 0.05 was considered statistically significant. Results: Four hundred and eighty-two patients did not receive any medications. Of these, 35 patients (7.3%) had heart rate below 50/min during the procedure. Six hundred and ten patients received 25 mg of meperidine and 2.5 mg of midazolam intravenously prior to examination. Of these, 40 patients (6.5%) had heart rate below 50/min during the procedure. One hundred and thirty-eight patients received 50 mg of meperidine and 5 mg of midazolam intravenously prior to examination. Of these, four patients (2.9%) had heart rate below 50/min during the procedure. Eighty patients received 25 mg of meperidine intravenously prior to examination, 11 patients (13.8%) had heart rate below 50/min during the procedure. Patients receiving only 25 mg of meperidine had significantly higher rate of developing bradycardia (Compared with no medications, P=0.05; compared with 25mg meperidine and 2.5 mg midazolam, P=0.0208; compared with 50 mg meperidine and 5 mg midazolam, P=0.0023). Six hundred and fifty-three colonoscopies were performed under EKG monitoring. Six hundred and fifty-seven colonoscopies were performed under EKG and blood pressure monitoring, six patients (0.9%) had significant hypotension with systolic pressure below 90 mmHg. There was no mortality encountered, but there were two perforations unrelated to the medications or lack of monitoring. Conclusions: This series suggests that premedication may facilitate colonoscopic examination with minimal complications; sedation by choice is well tolerated in selected patients; continuous and simultaneous monitoring of blood pressure, heart rate, and oxygen saturation should be justified by its cost and benefits.
關鍵詞 colonoscopy, sedation, monitoring, meperidine, midazolam
分類 Original Articles

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