| Theme | Endoscopic Treatment for Elderly Patients with Gastro‒intestinal Cancer | |
|---|---|---|
| Title | Sedation and Monitoring for Endoscopic Treatment | |
| Publish Date | 2017/06 | |
| Author | Toshihiro Nishizawa | Division for Research and Development of Minimally Invasive Treatment, Cancer Center, Keio University School of Medicine / Division of Gastroenterology and Hepatology, Department of Internal Medicine, Keio University School of Medicine |
| Author | Yoshiyuki Kiguchi | Division for Research and Development of Minimally Invasive Treatment, Cancer Center, Keio University School of Medicine |
| Author | Yutaka Mitsunaga | Division for Research and Development of Minimally Invasive Treatment, Cancer Center, Keio University School of Medicine |
| Author | Teppei Akimoto | Division for Research and Development of Minimally Invasive Treatment, Cancer Center, Keio University School of Medicine |
| Author | Naohisa Yahagi | Division for Research and Development of Minimally Invasive Treatment, Cancer Center, Keio University School of Medicine |
| [ Summary ] | Endoscopic treatment is uncomfortable and time‒consuming, thus, sedation is necessary to improve patient satisfaction and success rate of the procedure. Elderly patients having cardiopulmonary dysfunction are at, increased risk associated with administration of sedatives. Adequate pre‒evaluation is important in all, but critical for such patients. When sedation is administered for endoscopic treatment, it is important to appoint experienced staff and ensure a secure environment that allows strict monitoring of patients. Staff members require good training to handle sedation‒related adverse events. Elderly patients should receive reduced doses of sedative agents, and additional doses should be carefully considered based on monitoring and direct observation of the patient's condition. It is essential to continue monitoring the patient following the procedure due to the potential risk of recurrent events from sedative agent effects. | |