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 2021
Viewing Time: 1.5 hours

1. Understand the pharmacology, pharmacokinetics (time of onset, peak response, and duration of effect), pharmacodynamics, adverse effects, and drug-drug interactions of any sedative and analgesic used in the endoscopy unit.
2. Assess how Endoscopy unit teams work effectively in achieving optimal administration of sedatives/analgesics for the purpose of induction and maintenance of moderate sedation for various type of endoscopic procedures.

1. Close other applications and browser tabs. This decreases the load on memory so your computer or other device can focus on streaming.
2. Use a 5 GHz frequency if your router supports it. The common 2.4 GHz frequency is used by household appliances, so is more crowded. Avoiding it is like getting into the carpool lane on a freeway: smoother sailing.
3. Use Ethernet instead of Wi-Fi if possible but GI LEAP is built with Wi-Fi in mind. 
4. Monitor your internet connection. If your ISP has promised you 5MBps and you are getting only 1MBps, it's time for a phone call to your internet provider to sort that out.