Optimal sedation for gastrointestinal endoscopy: Review and recommendations

Andrew Thomson*, Gabrielle Andrew, D. Brian Jones

*Corresponding author for this work

    Research output: Contribution to journalReview articlepeer-review

    45 Citations (Scopus)

    Abstract

    Sedation practices for endoscopy vary widely. The present review focuses on the commonly used regimens in endoscopic sedation and the associated risks and benefits together with the appropriate safety measures and monitoring practices. In addition, alternatives and additions to intravenous sedation are discussed. Personnel requirements for endoscopic sedation are reviewed; there is evidence presented to indicate that non-anesthetists can administer sedative drugs, including propofol, safely and efficaciously in selected cases. The development of endoscopic sedation as a multi-disciplinary field is highlighted with the formation of the Australian Tripartite Endoscopy Sedation Committee. This comprises representatives of the Australian and New Zealand College of Anaesthetists, the Gastroenterological Society of Australia and the Royal Australasian College of Surgeons. Possible future directions in this area are also briefly summarized.

    Original languageEnglish
    Pages (from-to)469-478
    Number of pages10
    JournalJournal of Gastroenterology and Hepatology (Australia)
    Volume25
    Issue number3
    DOIs
    Publication statusPublished - Mar 2010

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