ASGE Annual GI Advanced Practice Provider Course (On-Demand) - Onboarding (Day One) | March 2025-Pre-procedural Considerations and Peri-procedural Medication Management

Pdf Summary

John A. Martin, MD, FASGE, presented on critical aspects of endoscopic procedures, including informed consent, sedation, bowel preparation, and peri-procedural medication management, without any financial conflict of interest. The presentation focused on the importance of the informed consent process, which includes explaining the procedure, its risks, benefits, alternatives, and allowing patient questions. Proper documentation and understanding between patient and provider is emphasized.<br /><br />Sedation options for endoscopy range from no sedation to general anesthesia, chosen based on patient and procedural needs. Proper assessment of risks, sedation needs, and patient history is crucial. Monitoring during sedation includes vital signs and the preparedness for potential complications, such as oxygen desaturation and hypotension.<br /><br />Bowel preparation is vital for colonoscopy efficacy, with split-dose regimens being preferred for better patient compliance and examination quality. Options for bowel cleansing include isosmotic, hyposmotic, hyperosmotic, and combination agents, tailored to patient-specific factors.<br /><br />Peri-procedural medication management now simplified, with fewer indications for antibiotic prophylaxis and specific considerations for antithrombotics and glycemic control. Proper planning and education are essential for procedural success, ensuring both effective cleansing and maintaining patient safety.<br /><br />Overall, the session underscored the importance of thorough preparation, from informed consent and sedation to bowel cleansing and medication management, as key to successful endoscopic procedures and maintaining a strong patient-provider relationship.

Asset Subtitle

John Martin, MD, FASGE

Keywords

endoscopic procedures

informed consent

sedation options

bowel preparation

peri-procedural medication

patient safety

colonoscopy efficacy

antibiotic prophylaxis

patient-provider relationship

sedation monitoring