부산대학교 도서관

A large number of pregnant patients undergo endoscopic procedures with anesthesia, with the goal of resolving or managing medical conditions. Pregnant patients may be more sensitive to the action of nondepolarizing agents, with the administration of vecuronium resulting in a more rapid onset and delayed recovery of neuromuscular block when compared with nonpregnant control patients ([31]). Anesthetic considerations Pregnant patients have lower serum creatinine and blood urea nitrogen levels, and even modest increases to the high end of normal should be a cause for concern because they may indicate a degree of renal failure and lead to a prolongation of the effect of renally excreted drugs. Maternal and fetal effects of medications given for sedation during endoscopy Deep sedation can be safely used for selected pregnant patients undergoing endoscopy procedures. [Extracted from the article]