What is it about?
The safe sedation of patients for diagnostic or therapeutic procedures requires a combination of properly trained physicians and suitable facilities. Additionally, appropriate selection and preparation of patients, suitable sedative technique, application of drugs, adequate monitoring, and proper recovery of patients is essential.
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Why is it important?
The goal of procedural sedation is the safe and effective control of pain and anxiety as well as to provide an appropriate degree of memory loss or decreased awareness. Sedation practices for gastrointestinal endoscopy (GIE) vary widely. The majority of GIE patients are ambulatory cases. Most of this procedure requires a short time. So, short acting, rapid onset drugs with little adverse effects and improved safety profiles are commonly used.
Perspectives
Sedation for GIE procedure can be safely and effectively performed with a multi-drug IV regimen utilizing anesthesiologist or non-anesthetic personnel with appropriate monitoring. However, comprehensive pre-sedation assessment and proper patient selection and preparation as well as availability of skilled professionals for sedation administration are key components to provision of quality patient care. Additionally, the physician must always be prepared to rescue patients who move to a deeper level of sedation, and there should be an awareness of complications.
Professor Somchai Amornyotin
Department of Anesthesiology, Faculty of Medicine Siriraj Hospital, Mahidol University
Read the Original
This page is a summary of: Sedation and monitoring for gastrointestinal endoscopy, World Journal of Gastrointestinal Endoscopy, January 2013, Baishideng Publishing Group Co., Limited (formerly WJG Press),
DOI: 10.4253/wjge.v5.i2.47.
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