Colonoscopy is a rather complicated examination, which involves the introduction of an endoscope into the rectal canal in order to study the intestine throughout its length. This method helps to effectively diagnose various pathologies. The procedure is referred to diagnostic and treatment methods, since during the procedure, surgical treatment can be performed. However, the procedure itself is very painful, so many patients are interested in how to do a colonoscopy in a dream. In this review, we will consider the features of its implementation, as well as the difficulties that may arise during the process.
Description of procedure
Colonoscopy refers to minimally invasive methods for examining intestinal walls. The procedure allows you to get a fairly detailed picture. For its implementation, a device called an endoscope is used. Its tip is equipped with a special optical device that allows you to transfer the image of the state of internal organs to the monitor. Thus, the doctor can most accurately assess the condition of the intestinal mucous membranes.
The main disadvantage of colonoscopy is pain and discomfort. Therefore, before it is performed, the patient is anesthetized. Most often, the doctor uses general anesthesia or sedation. This means that colon colonoscopy is performed in a dream.
Benefits
Let's dwell on this in more detail. What are the benefits of colonoscopy in a dream? Reviews of this patient procedure confirm that with an anesthetic no unpleasant sensations occur in the process. Other advantages of this procedure include:
- relief of bleeding in the intestine;
- the possibility of bloodless removal of polyps;
- maximum relaxation during the procedure, which eliminates the likelihood of injury to the mucous membranes;
- under anesthesia, the procedure can be carried out at any age;
- lack of fear of the procedure.
It is also worth noting that with the sedative effect of medications, the time of a colonoscopy is significantly reduced.
disadvantages
However, not everyone is shown a colonoscopy under medical sleep. Reviews of experts indicate a number of disadvantages of such a manipulation. These include:
- side effect of drug administration;
- toxic effects on the liver and kidneys;
- memory problems after the procedure.
Although it is worth noting that in modern medicine, safe medications for sedation are used, which have a minimal list of side effects and complications. Numerous studies only confirm this.
General anesthesia and sedative sleep: differences
Many believe that gastroscopy and colonoscopy in a dream are quite dangerous procedures. In fact, this is not so. Sedation does not apply to anesthesia, and there are significantly fewer contraindications to its administration. Used drugs are characterized by short-term exposure. In addition, the risks of developing complications from the cardiovascular system are minimized.
Where is it held?
How is gastroscopy and colonoscopy performed in a dream? Reviews about this procedure today can be found mostly positive. However, only a proctologist can prescribe this study. With an uncertain clinical picture, as a rule, consultations of such specialists will still be required:
- cardiologist;
- nephrologist;
- gastroenterologist;
- hepatologist.
It is also important that the doctor selects the right pain medication.
Where is a colonoscopy performed in a dream? Clinics that offer this procedure should have at their disposal intensive care units, as well as rooms for the patient to stay after the procedure. This is required to provide emergency medical care in case of complications.
Cost
So, what amount should be prepared? How much does a bowel colonoscopy in a dream cost? Reviews do not allow a consensus on this issue. The price depends on many factors. These include:
- city of the procedure;
- clinic management form;
- belonging to a private or municipality;
- doctor qualifications.
The approximate cost of the procedure varies within the following limits:
- colonoscopy with sedation - 6 thousand rubles;
- procedure under general anesthesia - 10 thousand rubles;
- procedure with local anesthesia of 1.5 rubles.
Colonoscopy can also be performed free of charge under the compulsory medical insurance policy in a specialized hospital.
The opinion of doctors
Many patients are interested in how a colonoscopy is performed in a dream. Reviews will not help to understand the algorithm of actions of medical staff. Colonoscopy is a rather controversial procedure, and many doctors disagree on the methods of its implementation. Some specialists prefer that patients maintain clarity of consciousness, and therefore work with local anesthesia. Others, on the contrary, believe that sedation helps to achieve the maximum informational content of the examination.
Despite the type of anesthesia, patients are advised to carefully prepare for the procedure and follow all the instructions of the doctors.
Algorithm
Let's dwell on this aspect in more detail. A colonoscopy with medical sleep is performed as follows:
- the patient sits on the couch;
- an anesthesiologist measures the level of blood pressure and examines the patient;
- the patient is asked to lie on his side, pressing his legs to his stomach, knees should be at the level of the chin;
- after that, the patient is given an anesthetic and an oxygen mask is put on.
When the pain medication begins to act, the manipulation itself is carried out. Pre-treat the anus with an antiseptic composition. After that, the tip of the endoscope is inserted into the rectal canal. The device is gradually placed in the intestinal space, while conducting a detailed examination of the mucous membranes. The position of the client can be changed if necessary. After the examination, the patient is transferred to the ward for awakening and recovery. In order to recover, the patient will need some time. But the next day there will be no trace of anesthesia.
Used drugs
How is a colonoscopy performed with medical sleep? Patient reviews confirm that this is the most painless option for the procedure. The following drugs can be used to inhibit the patient’s consciousness:
- For intramuscular and intravenous sedation - Diazepam, Midazolam, Phenobarbital, Alprazolam, Butisol, Alurat, Brevital, Tiamilal.
- For inhalation sedation - "Morphine", "Fentanyl", "Norepinephrine", "Thiopental", "Midazolam".
It is necessary that the drug quickly affect the mind, but this effect should be short-lived. Moreover, it should also be easily excreted from the body. To monitor the patient's condition during the procedure, an anesthetist is always required to be with him. He evaluates the condition of the patient and in which case he can quickly respond to any unforeseen reaction.
Most often, doctors prefer to use a drug called "Midazolam" for sedation. He has a number of necessary qualities. In this case, the hemodynamic state of the patient is necessarily controlled.
Recommendations
Most often, patients are worried about how to properly prepare for a procedure such as a colonoscopy in a dream. Reviews usually contain all the necessary information. But no less important is the stage of getting out of a state of sedation. After the first awakening, it is important to observe bed rest and take plenty of warm drink. Nutrition should be light and dietary. Also, whenever possible, medication should be excluded. In some cases, the patient is left in the hospital for 1-2 nights to fully stabilize. Also, for the first time after sedation, one should refrain from driving and work requiring high concentration.
Indications for
So what do you need to know about this? Outside colonoscopy is only for certain indications. These include:
- children's age of patients - up to 12 years;
- the presence of adhesions in the intestinal lumen;
- narrowing along the entire length of the intestine;
- mental disorders and emotional instability;
- lowered pain threshold;
- the need for surgery or biopsy for histology.
Before the introduction of the drug, it is necessary to exclude the possibility of an allergic reaction to medications, as well as assess the severity of the alleged pathology.
Contraindications
This aspect is worth exploring in the first place. A colonoscopy in a dream cannot be performed in the following cases:
- with violations of the cardiovascular system;
- exacerbations of bronchopulmonary diseases;
- acute infections;
- high body temperature;
- nervous diseases;
- severe mental disorders;
- abscess skin lesions;
- neglected rickets in children.
All contraindications can be divided into absolute and relative. In the first case, you will have to choose alternative methods of pain relief, and in the second, the procedure can be performed after the complete elimination of obstructing factors.
Conclusion
Today, a colonoscopy in sleep can be used to diagnose diseases of the gastrointestinal tract. Patient reviews about this procedure confirm that it goes under complete sedation, so no unpleasant sensations arise. This is a modern diagnostic test method that can be applied to both adults and children. Of great importance is the preparatory phase. After all, with a colonoscopy, a direct effect on the rectum occurs under an additional drug load. It is extremely important to choose the right anesthesia. It should not have a toxic effect on the body.
Despite all the advantages of drug-assisted colonoscopy , this method has certain disadvantages. So, after sedation, the patient often has memory problems, and due to the action of anesthesia, malfunctioning of the kidneys and liver sometimes occurs. In addition, there is a large group of diseases in which this examination is strictly impossible. These include disturbances in the functioning of the heart muscle, severe mental disorders and nervous diseases. In these cases, doctors recommend considering alternative options for the procedure.