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ASGE Annual GI Advanced Practice Provider Course ( ...
Sedation and Analgesia in GI Endoscopy
Sedation and Analgesia in GI Endoscopy
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Video Transcription
Video Summary
The speaker, Erika Heege, is a nurse practitioner at the Oregon Clinic in Oregon. In this video, she discusses sedation and analgesia in GI endoscopy. She explains that the objectives of sedating patients are to relieve anxiety, discomfort, improve exam outcomes, and diminish memory of the event. She discusses the different levels of sedation and defines minimal sedation as patients who are completely responsive and unaffected in their airway, ventilation, and cardiovascular function. She emphasizes the importance of informed consent and the discussion of benefits, risks, and alternatives to the sedation plan. She also highlights the need to clarify NPO (nothing by mouth) status to minimize aspiration risks. Erika discusses the pre-procedural assessment, including history, physical examination, and the evaluation of the Mallampotti score and ASA (American Society of Anesthesiologists) sedation classification. She also provides a list of absolute and relative exclusion criteria for ambulatory surgical centers (ASCs) and explains the role of anesthesia providers in sedation during GI endoscopy. The video concludes with Erika addressing unsedated endoscopy, moderate sedation, deep sedation, and maximum sedation. She emphasizes the need for proper pre-procedure assessment, informed consent, and the creation of exclusion criteria for ASCs to ensure patient safety.
Asset Subtitle
Erica Heagy, MSN, FNP-BC
Keywords
Erika Heege
sedation
GI endoscopy
minimal sedation
informed consent
patient safety
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