| Theme | Optimal Sedation in Gastrointestinal Endoscopy : Understanding and Using the New Guidelines Correctly | |
|---|---|---|
| Title | Complications Due to Sedation in Endoscopy and Their Countermeasures | |
| Publish Date | 2015/05 | |
| Author | Taiji Akamatsu | Endoscopy Center, Nagano Prefectural Suzaka Hospital, Nagano Prefectural Hospital Organization |
| Author | Kazuhisa Shimodaira | Internal Medicine, Gastroenterology, Nagano Prefectural Suzaka Hospital, Nagano Prefectural Hospital Organization |
| Author | Hisataka Saegusa | Internal Medicine, Gastroenterology, Nagano Prefectural Suzaka Hospital, Nagano Prefectural Hospital Organization |
| Author | Masayuski Miyajima | Internal Medicine, Gastroenterology, Nagano Prefectural Suzaka Hospital, Nagano Prefectural Hospital Organization |
| Author | Takayuki Uehara | Internal Medicine, Gastroenterology, Nagano Prefectural Suzaka Hospital, Nagano Prefectural Hospital Organization |
| [ Summary ] | There should be no hesitation to administer sedation during endoscopy for patients who request it and for those who are suspected to have a low fortitude for the procedure without sedation. For the successful performance of sedation, it is important to possess sufficient knowledge of, and have experience in, the administration of sedative drugs. It is also important to be aware of the potential for suppression of respiration and changes in circulatory movement during the procedure. Additionally, it is essential to monitor the patient's blood oxygen concentration, pulse rate, electrocardiogram, and blood pressure. Furthermore, an emergency cart should always be implemented in the endoscopic division in order to prepare the antagonists for sedative drugs etc., and a substantial recovery room should be available. For endoscopic reservations, careful informed written consent for the procedure with sedation is required from all patients. | |