Sedation and General Anaesthesia for Colonoscopy in Childhood

摘要: Fiberoptic colonoscopy was successfully introduced into paediatric practice several decades ago and has improved the detection management of gastrointestinal diseases in children worldwide (El Mouzan et al, 2005). Since early 1970’s become more useful advanced method for diagnosis treatment many large-bowel population (Steiner 2006). This expansive development also been possible thanks to rapid anaesthetic techniques new drugs. There are indications children: diarrhea, hematochezia, unexplained rectal bleeding, abdominal pain, inflammatory bowel disease, polyposis syndrome, polypectomy, vascular ablation, dilation stricture, foreign body removal, decompression. All reports have shown that this procedure could be safe tool all age groups only if it is based on good standards experienced management, provided by both gastroenterologist anaesthesiologist (Dillon 1998). Children often difficult non-cooperative patients. Due anatomical differences, when compare with adults, they need diagnostic specificity ability examined endoscopist. His opinion comfort during a key effective satisfactory or therapeutic procedure. On other hand completely different group patients higher risk unpredictable events invasive procedures being associated younger child is. Therefore provide deep sedation general anaesthesia. In some cases, conscious should extremely ill. Although performed routinely hospitals still most important thing remember perform at least safely, reasonably quickly, comfortably (Strauss & Giest, 2003). They feel pain discomfort connected overinsuflation heavy-handed instrumental technique. sensitive dehydration as consequence preoperative preanaesthetic reflected cardiovascular respiratory complications.