ASGE Annual GI Advanced Practice Provider Course - Onboarding Day One (On-Demand) | April 2022-Sedation and Analgesia in GI Endoscopy

Video Transcription

Video Summary

The video features Erika Heege, a nurse practitioner at the Oregon Clinic, who is discussing sedation and analgesia in GI endoscopy. She explains the various levels of sedation, from minimal sedation to general sedation, and highlights the objectives of sedation, which include relieving anxiety and discomfort, improving exam outcomes, and minimizing patient memory of the event. Erika emphasizes the importance of informed consent, discussing benefits, risks, and alternatives with patients. She provides guidelines for NPO status before procedures and shares the Malampati score and ASA sedation classification for assessing patients' suitability for sedation in an ambulatory surgical center (ASC). Erika also discusses absolute and relative exclusion criteria for ASC procedures and when it may be necessary to involve an anesthesia provider. She concludes by discussing the practice of unsedated endoscopy, moderate sedation using benzodiazepines and opioids, deep sedation for advanced endoscopic procedures, and max sedation administered by an anesthesiologist. Erika highlights the importance of pre-procedural assessment, informed consent, and creating exclusion criteria for ASCs.

Asset Subtitle

Erica Heagy, MSN, FNP-BC

Keywords

sedation and analgesia

GI endoscopy

levels of sedation

informed consent

NPO status

ambulatory surgical center