Over sedating in endoscopy procedures
The doctor will wish to know your allergies and a list of your medications.This is the time to ask any questions you may have regarding the sedation.However, not all patients require sedation for endoscopic procedures.Some patients are quite comfortable with no sedation, or only minimal sedation, depending on the type and duration of the procedure.It is most likely that you will have your endoscopy in a day surgery unit in a public or private hospital.During the procedure an anaesthetist or sedationist (doctor or nurse trained in sedation and resuscitation) will be present throughout the procedure to provide monitoring of your level of consciousness, your cardiorespiratory state and provide the right amount of anaesthetic sedation to keep you comfortable throughout.Dr G M Andrew, BA (Hons), MBBS Rapid strides have been made in gastro-intestinal endoscopy (gastroscopy, colonoscopy, ERCP, and related techniques) in the last thirty years.Gastro-intestinal endoscopy, once largely diagnostic, has evolved such that therapeutic procedures are often performed at the same time. Safe and effective sedation has been a major factor in the development of therapeutic endoscopy.
), complications of the procedure, and most importantly the question "Doctor, how much will I feel the procedure? " With modern sedation and careful monitoring the great majority of patients will feel comfortable during the procedure.You will also be given a mask or some type of oxygen delivery system to increase the level of oxygen in the air that you are breathing - this is now standard for endoscopic procedures. When you are asleep you may be aware of suction in the mouth or throat, which is used to remove any unwanted secretions.Pulse oximeters are the most important monitors to have been developed in the last fifteen years.All healthy patients will have an oxygen saturation greater than 96% when breathing room air.If the oxygen saturation in the blood drops, the machine will alarm, and the anaesthetist will undertake measures to correct the situation to avoid an emergency.
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Sedation is often achieved using a benzodiazepine, in combination with an opioid for pain relief and a barbiturate-like hypnotic agent if deeper sedation is required.