ASGE Annual GI Advanced Practice Provider Course - Day One | July 2021-Presentation 5

Video Transcription

Video Summary

The video begins with a review of the evaluation, consultation, and documentation process for endoscopy procedures. The speaker proceeds to discuss the importance of preparing patients for endoscopy, as it takes up a significant portion of a gastroenterologist's time. A polling question is included to gather information about preferred sedation methods for colonoscopy and upper endoscopy, with propofol being the most popular choice. The speaker then asks another polling question about preferred sedation for advanced procedures, with deep sedation or general anesthesia being the majority choice. The objectives of sedation and analgesia for endoscopy are identified as relieving patient anxiety and discomfort, improving endoscopy performance, and diminishing patient memory of discomfort. The speaker highlights the importance of considering the level of sedation needed for each patient, ranging from no sedation to deep sedation or general anesthesia. Factors such as NPO status, aspiration risk, and patient history are discussed. The speaker emphasizes the need for informed consent, including risks associated with sedation, and provides information on pre-procedural assessments and documentation requirements. The use of anesthesia for all patients, as well as situations where anesthesia assistance may be necessary, is also addressed. The differences between moderate sedation and deep sedation/general anesthesia, including advantages and potential disadvantages, are outlined. The video concludes by highlighting the importance of pre-procedure assessment in selecting appropriate sedation and analgesia for patients undergoing endoscopy.

Asset Subtitle

Aaron Shiels, MD, FASGE

Keywords

endoscopy procedures

patient preparation

sedation methods

advanced procedures

sedation and analgesia

informed consent