Preprocedural Assessment for Sedation in Gastrointestinal Endoscopy

Gastrointest Endosc Clin N Am. 2016 Jul;26(3):433-41. doi: 10.1016/j.giec.2016.02.001.

Abstract

The role of the anesthesia service in sedation for gastrointestinal endoscopy (GIE) has been steadily increasing. The goals of preprocedural assessment are determined by the specific details of the procedure, the issues related to the illness that requires the endoscopy, comorbidities, the goals for sedation, and the risk of complications from the sedation and the endoscopic procedure. Rather than consider these issues as separate entities, they should be considered as part of a continuum of preparation for GIE. This is told from the perspective of an anesthesiologist who regularly participates in the full range of sedation for GIE.

Keywords: Aspiration; Cardiac disease; Difficult airway; Hypoxemia; Pulmonary disease; Sedation; The risk of complications; The “anesthesia approach to preparation”.

Publication types

  • Review

MeSH terms

  • Anesthesiology
  • Cardiovascular Diseases / epidemiology
  • Comorbidity
  • Conscious Sedation
  • Deep Sedation
  • Endoscopy, Gastrointestinal / methods*
  • Gastroenterology
  • Gastrointestinal Diseases / diagnosis*
  • Gastrointestinal Diseases / epidemiology
  • Humans
  • Intraoperative Complications / epidemiology
  • Lung Diseases / epidemiology
  • Nervous System Diseases / epidemiology
  • Physician's Role
  • Preoperative Care / methods*
  • Renal Insufficiency, Chronic / epidemiology
  • Risk Assessment / methods*