| Theme |
Optimal Sedation in Gastrointestinal Endoscopy : Understanding and Using the New Guidelines Correctly |
| Title |
Appropriate Sedation During Emergency Endoscopy |
| Author |
Hiroshi Kashida |
Department of Gastroenterology and Hepatology, Kinki University Faculty of Medicine |
| Author |
Takeshi Miyata |
Department of Gastroenterology and Hepatology, Kinki University Faculty of Medicine |
| Author |
Yutaka Asakuma |
Department of Gastroenterology and Hepatology, Kinki University Faculty of Medicine |
| Author |
Toshiharu Sakurai |
Department of Gastroenterology and Hepatology, Kinki University Faculty of Medicine |
| Author |
Shigenaga Matsui |
Department of Gastroenterology and Hepatology, Kinki University Faculty of Medicine |
| Author |
Masayuki Kitano |
Department of Gastroenterology and Hepatology, Kinki University Faculty of Medicine |
| [ Summary ] |
Recently, there has been an increasing number of patients requesting sedation during endoscopic procedures, even in Japan. Emergency endoscopy may pose more discomfort than routine endoscopy. Therefore, it is predicted that the demand for sedation will also rise during emergency endoscopy procedures. However, the patient and the patient’s family should be informed that sedation can cause further complications in an emergency setting compared with routine cases, and consequently specific written consent for sedation should be obtained prior to the procedure. The sedative dose should be kept to minimum because the general condition of the patient is often poor, especially in the elderly. Sedation is not recommended for patients with poor vital signs, unconscious patients, or for extremely old patients. Care should be taken to prevent low blood pressure, hypopnea, and pulmonary impact with food or blood. In addition, the monitoring of vital signs is required before, during, and after the endoscopic procedure. |