| [ Summary ] |
Demands for sedation in endoscopic practice are increasing. In December 2013, "Guidelines for Sedation in Gastroenterological Endoscopy" were developed by the Japan Gastroenterological Endoscopy Society, in collaboration with the Japanese Society for Anesthesiologists, and in accordance with EBM. The purpose of sedation is to relieve patient anxiety and discomfort, and to improve the conditions during an endoscopic procedure. Since a few serious complications, including sedation‒related death, have been reported, we need to understand the benefits and risks of sedation, the characteristics of each sedative drug, and the approach to treat adverse events during sedation. In addition, it is critical to perform sufficient pre‒evaluations for each patient and conduct appropriate patient monitoring, both during and after examination. Furthermore, the ability to rapidly respond to emergencies when severe complications occur is also essential. |