ASGE Annual GI Advanced Practice Provider Course (On-Demand) - Onboarding (Day One) | March 2025-Pre-procedural Considerations: Informed Consent, Sedation, Bowel Preparation and Periprocedural Medication Management

Pre-procedural Considerations: Informed Consent, Sedation, Bowel Preparation and Periprocedural Medication Management

Video Transcription

Video Summary

The video outlines the critical steps and considerations in preparing for medical procedures, with a focus on informed consent, sedation, bowel preparation, and periprocedural medication management.<br /><br />Key points include the necessity of viewing informed consent as a comprehensive process, not just a formality. It highlights the importance of dialogue between the provider and the patient, discussing the procedure's nature, risks, benefits, alternatives, and potential outcomes. Encouraging patient participation by asking questions and ensuring understanding is emphasized. A witness should document the consent process.<br /><br />Sedation options vary from minimal to general anesthesia, with the choice depending on patient needs and procedure type. Pre-procedural assessment is vital for determining appropriate sedation, considering factors like age, comorbid conditions, and previous anesthesia reactions. Anesthesia can improve patient comfort and procedure effectiveness but has associated risks.<br /><br />Bowel preparation involves choosing appropriate cleansing agents, often favoring low-volume, isosmotic or hyperosmotic preps, which enhance patient tolerance. Follow split-dose protocols for efficiency. Considerations for special patient groups and managing medication before procedures are discussed, alongside emergency adjustment strategies.<br /><br />The video concludes by encouraging regular consultation of current guidelines to ensure the best practices in patient care and preparation.

Asset Subtitle

John Martin, MD, FASGE

Keywords

informed consent

sedation options

bowel preparation

periprocedural medication

patient participation

anesthesia risks

guidelines consultation