Quality and Safety in Endoscopy Units Around the Globe (On-Demand)

Video Transcription

Video Summary

In this video, the speaker discusses practical tips and tricks for sedation in endoscopies. They emphasize the importance of considering the nuances and various aspects of the endoscopy experience, including the pre-op assessment, intra-op, and post-op considerations. The speaker explains that sedation is used to make the exam safer, ensure patient comfort, and improve procedure efficiency. They highlight physiological reasons for sedation, such as safety concerns with the gag reflex, reducing patient anxiety, and minimizing discomfort during certain procedures. The speaker also discusses factors that may affect a patient's anesthetic risk, including airway issues, history of difficult intubation, drug interactions, substance abuse, NPO status, and drug safety during pregnancy. They emphasize the importance of systematically considering sedation throughout the entire endoscopy process. The speaker explores different monitoring methods during sedation, including direct observation, external monitors, blood pressure measurements, oximetry, and capnography. They stress the need for situational awareness and monitoring an individual's breathing and oxygen levels. The speaker explains the sedation continuum and the different levels of sedation. They highlight the importance of continuous telemetry monitoring and having personnel certified in ACLS present during sedation. The speaker provides tips for managing potential emergencies, including airway emergencies, sedation emergencies, and cardiac emergencies. They discuss various emergency devices and emphasize the need for immediate assessment and appropriate responses. Lastly, the speaker discusses scoring systems used to assess a patient's fitness for discharge and emphasizes the importance of discharging sedated patients with a responsible adult.

Asset Subtitle

Karl Kwok, MD, FASGE

Keywords

sedation

endoscopies

patient comfort

monitoring methods

emergency management

fitness for discharge