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Patient Preparation, Sedation, and Monitoring for Flexible Endoscopy

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The SAGES Manual of Flexible Endoscopy

Abstract

Proper patient preparation for any endoscopic procedure ensures procedure success and patient safety. Sedation is an integral part of endoscopy, as it aims to alleviate patient anxiety and discomfort, diminishes the patient’s memory of the event, and improves outcomes and patient experience. Continuous monitoring during and after the administration of sedatives detects early signs of distress and allows for timely intervention and rescue.

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References

  1. American Society of Anesthesiologists. Practice guidelines for moderate procedural sedation and analgesia 2018. Anesthesiology. 2018;128:437–79.

    Article  Google Scholar 

  2. ASGE Standards of Practice Committee, Early DS, Lightdale JR, Vargo JJ 2nd, Acosta RD, Chandrasekhara V, Chathadi KV, et al. Guidelines for sedation and anesthesia in GI endoscopy. Gastrointest Endosc. 2018;87(2):327–37.

    Article  Google Scholar 

  3. Crossley GH, Poole JE, Rozner MA, Asirvatham SJ, Cheng A, Chung MK, et al. The Heart Rhythm Society (HRS)/American Society of Anesthesiologists (ASA) Expert Consensus Statement on the perioperative management of patients with implantable defibrillators, pacemakers and arrhythmia monitors: facilities and patient management this document was developed as a joint project with the American Society of Anesthesiologists (ASA), and in collaboration with the American Heart Association (AHA), and the Society of Thoracic Surgeons (STS). Heart Rhythm. 2011;8(7):114–54.

    Article  Google Scholar 

  4. Clancy C, Burke JP, Chang KH, Coffey JC. The effect of hysterectomy on colonoscopy completion: a systematic review and meta-analysis. Dis Colon Rectum. 2014;57(11):1317–23.

    Article  Google Scholar 

  5. ASGE Standards of Practice Committee, Acosta RD, Abraham NS, Chandrasekhara V, Chathadi KV, Early DS, Eloubeidi MA, et al. The management of antithrombotic agents for patients undergoing GI endoscopy. Gastrointest Endosc. 2016;83(1):3–16.

    Article  Google Scholar 

  6. Patel R, Clayton S, Quintero E, Gill J. Chronic opioid users are more difficult to sedate than alcoholics and controls. South Med J. 2015;108(12):744–7.

    Article  CAS  Google Scholar 

  7. Friedel D, Stavropoulos S, Iqbal S, Cappell MS. Gastrointestinal endoscopy in the pregnant woman. World J Gastrointest Endosc. 2014;6(5):156–67.

    Article  Google Scholar 

  8. Fanti L, Gemma M, Agostoni M, Rossi G, Ruggeri L, Azzolini ML, et al. Target controlled infusion for non-anaesthesiologist propofol sedation during gastrointestinal endoscopy: the first double blind randomized controlled trial. Dig Liver Dis. 2015;47(7):566–71.

    Article  CAS  Google Scholar 

  9. Vargo JJ, DeLegge MH, Feld AD, Gerstenberger PD, Kwo PY, LIghtdale JR, et al. Multisociety sedation curriculum for gastrointestinal endoscopy. Gastrointest Endosc. 2012;76(1):e1–e25.

    Article  Google Scholar 

  10. Agrawal D, Feldman HA, Krauss B, Waltzman ML. Bispectral index monitoring quantifies depth of sedation during emergency department procedural sedation and analgesia in children. Ann Emerg Med. 2004;43(2):247–55.

    Article  Google Scholar 

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Correspondence to Diya Alaedeen .

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© 2020 Society of American Gastrointestinal and Endoscopic Surgeons (SAGES)

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Alaedeen, D., Ardila Gatas, J. (2020). Patient Preparation, Sedation, and Monitoring for Flexible Endoscopy. In: Nau, P., Pauli, E., Sandler, B., Trus, T. (eds) The SAGES Manual of Flexible Endoscopy. Springer, Cham. https://doi.org/10.1007/978-3-030-23590-1_8

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  • DOI: https://doi.org/10.1007/978-3-030-23590-1_8

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-23589-5

  • Online ISBN: 978-3-030-23590-1

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