| Theme |
Optimal Sedation in Gastrointestinal Endoscopy : Understanding and Using the New Guidelines Correctly |
| Title |
Adequate Sedation for Gastrointestinal Endoscopy |
| Author |
Atsushi Irisawa |
Department of Gastroenterology, Aizu Medical Center, Fukushima Medical University |
| Author |
Goro Shibukawa |
Department of Gastroenterology, Aizu Medical Center, Fukushima Medical University |
| Author |
Yoko Abe |
Department of Gastroenterology, Aizu Medical Center, Fukushima Medical University |
| Author |
Koh Imbe |
Department of Gastroenterology, Aizu Medical Center, Fukushima Medical University |
| Author |
Koki Hoshi |
Department of Gastroenterology, Aizu Medical Center, Fukushima Medical University |
| Author |
Akane Yamabe |
Department of Gastroenterology, Aizu Medical Center, Fukushima Medical University |
| Author |
Ryo Igarashi |
Department of Gastroenterology, Aizu Medical Center, Fukushima Medical University |
| Author |
Katsutoshi Obara |
Department of Endoscopy, Fukushima Medical University Hospital |
| [ Summary ] |
Currently, both diagnostic and therapeutic endoscopy is well tolerated and accepted by the patient and endoscopist, due to the administration of sedation. Sedation during endoscopic procedures relieves patient anxiety and discomfort, and facilitates successful procedures. General diagnostic endoscopy can be successfully performed by administering moderate (conscious) sedation using benzodiazepine. In contrast, for pancreaticobiliary endoscopy and/or endoscopic treatment, various types of sedation and analgesia can be administered according to the procedure and patient status. Irrespective of procedural type, the endoscopist should obtain written informed consent prior to sedation, and must not neglect the appropriate monitoring of patient consciousness and cardiorespiratory condition during the procedure. In addition, it is necessary to be careful regarding the monitoring of awakening states. |