Importance of Psychiatric Intervention in Intolerances in Endoscopic Procedures

• Published in: Journal of international medical research Vol. 30; no. 2; pp. 174 - 179
• Main Authors: Yildirgan, Mİ, Çayköylü, A, Başoğlu, M, Atamanalp, SS, Yilmaz, İ, Balik, AA
• Format: Journal Article
• Language: English
• Published: London, England SAGE Publications 01.03.2002
• Subjects: Analgesics, Opioid - therapeutic use; Endoscopy - education; Endoscopy - psychology; Humans; Hypnotics and Sedatives - therapeutic use; Meperidine - therapeutic use; Midazolam - therapeutic use; Patient Education as Topic; Premedication; Prospective Studies; Psychotherapy; Turkey; Turkey; Tolerance; Endoscopy; Pre-medication; Psychiatric assistance
• ISSN: 0300-0605; 1473-2300
• DOI: 10.1177/147323000203000210

Despite the fact that pre-medication, in a number of different drug combinations, has been used for a long time in endoscopy units, and has been subject to extended clinical studies, it is still not possible to claim that it has attained an ideal state with regard to patient tolerance to endoscopy procedures. In this clinical study, we have investigated the effects of psychological intervention in addition to medication, which we used on patients with intolerance to endoscopy. Intolerance was very high in all endoscopic procedures (15.8% total). It was observed that average midazolam doses were significantly higher in intolerant than in tolerant patients. It was found that in patients who had received psychiatric intervention, the decrease in midazolam dose was statistically significant in a subsequent endoscopy procedure.