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Sedation in the Endoscopy Suite

  • Endoscopy (I Waxman, Section Editor)
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Current Treatment Options in Gastroenterology Aims and scope Submit manuscript

Opinion statement

Sedation practices in the endoscopy suite have changed dramatically in the decades since the introduction of routine colonoscopy and esophagogastroduodenoscopy (EGD). Patients initially received moderate sedation (or even no sedation), but now frequently receive monitored anesthesia care (MAC). This significant shift has introduced anesthesiologists to the endoscopy suite along with new sedative medications and safety concerns. Appreciating the ramifications of this change requires an understanding of sedation depth, patient selection, drug use, sedation delivery, patient monitoring, recovery from sedation, and patient outcomes. Furthermore, the changing landscape of healthcare quality and reimbursement challenges us to provide the best possible care for our patients in the most economical way possible. The endoscopy suite is a unique sedation environment, and it is the purpose of this article to review those elements that contribute to a uniquely demanding work environment.

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References and Recommended Reading

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Authors and Affiliations

  1. Department of Anesthesiology & Perioperative Medicine, The University of Texas MD Anderson Cancer Center, 1400 Holcombe Blvd, Unit 409, Houston, TX, 77030, USA

    Katherine B. Hagan MD

  2. Department of Gastroenterology, The University of Texas MD Anderson Cancer Center, 1515 Holcombe Blvd, Unit 1466, Houston, TX, 77030, USA

    Selvi Thirumurthi MD & Raju Gottumukkala MD

  3. Department of Gastroenterology and Hepatology, Cleveland Clinic, 9500 Euclid Avenue, Cleveland, OH, 44195, USA

    John Vargo MD, MPH

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  1. Katherine B. Hagan MD
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  2. Selvi Thirumurthi MD
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  3. Raju Gottumukkala MD
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  4. John Vargo MD, MPH
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Correspondence to Katherine B. Hagan MD.

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Katherine B. Hagan declares that she has no conflict of interest. Selvi Thirumurthi declares that she has no conflict of interest. Raju Gottumukkala declares that he has no conflict of interest. John Vargo is a consultant for Paion Medical, Inc.

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Hagan, K.B., Thirumurthi, S., Gottumukkala, R. et al. Sedation in the Endoscopy Suite. Curr Treat Options Gastro 14, 194–209 (2016). https://doi.org/10.1007/s11938-016-0089-8

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