The aim of endoscopic sedation is to reduce patient discomfort, including anxiety and pain, while preserving a minimum rate of drug-related adverse events. Endoscopists should consider both patient and procedural factors for adequate and safe sedation. Patient factors include age, body mass, medical history, concurrent medications, preprocedural anxiety, previous responses to sedation, and pain tolerance. Procedural factors include the level of procedure-related discomfort, the need for the patient to lie relatively motionless, and the duration of examination. Dr. Dye will review and discuss various sedation protocols used by endoscopists along with a discussion of various recommendations published by egastroenterology and endoscopy societies, including ASGE.
Release Date: October 2021Viewing Time: 1.5 hours
Charles E. Dye, MD PennState Health Hershey, PA, USA