What level of sedation is used for endoscopy?

In general, most endoscopic procedures are performed with the patient under moderate sedation, a practice that was formerly referred to as "conscious sedation."

Are you fully sedated for an endoscopy?

Most, but not all, people are sedated during the procedure, and will remember little to nothing when they wake up; and very few people have any complications. So, if you are scheduled for an upper endoscopy procedure, here is an overview of what you can expect.

Is moderate sedation included in endoscopy?

Intra-service time for endoscopy is scope-in to scope-out, but moderate sedation intra-service time begins at the first dose IV medication and concludes when the patient is stable and can be moved to recovery, and the individual providing the sedation ends personal continuous face to-face time with the patient.

How long does endoscopy take under sedation?

Many people fall asleep. An upper endoscopy usually takes 20 to 30 minutes to complete. When the procedure is over, the doctor will gently remove the endoscope. Then you will go to a recovery room.

What is considered deep sedation?

Deep Sedation/Analgesia is a drug-induced depression of consciousness during which patients cannot be easily aroused but respond purposefully** following repeated or painful stimulation. The ability to independently maintain ventilatory function may be impaired.

Endoscopy Introduction - The Patient Journey

How do you stay calm during an endoscopy?

Having something else to think about during the procedure itself can also help. You might want to try reciting the multiplication tables in your head, visualising yourself in your favourite location, or remembering the words of your favourite songs.

What type of anesthesia is used for endoscopy?

A medication called propofol is typically used. At very high doses, it can achieve “general anesthesia” as used in surgeries. Deep sedation requires closer patient monitoring during endoscopy. In many places, its use requires anesthesia personnel and may involve additional patient costs through insurance.

How much propofol is used for endoscopy?

Generally, a propofol loading dose of 40 mg to 50 mg is given with further smaller bolus loads (10 mg to 20 mg) to maintain sedation, with a typical total dose between 100 mg and 300 mg.

What are the levels of sedation?

There are three basic levels of sedation – minimal, moderate and deep. Minimal sedation helps you relax but you will likely be awake. You will be able to respond easily to verbal and physical stimulation. Minimal sedation is often achieved using oral medication or laughing gas.

How long does it take for propofol to wear off after endoscopy?

The elimination half-life of propofol is approximately 0.5 h to 1.5 h. This drug has a very fast clearance and therefore can be administered as a continuous infusion or as multiple boluses without any accumulative effects.

What is the difference between sedation and general anesthesia?

Deep sedation: The patient is nearly unconscious and only has purposeful response to repeated and painful stimulation. The patient may need assistance with breathing, but cardiovascular function is usually unimpaired. General anesthesia: The patient is completely unconscious and does not respond to any level of pain.

Which level of sedation is most commonly used?

Moderate sedation.

This is one of the most common forms of sedation used. The medications are usually midazolam and fentanyl – a mild sedative and a pain killer.

What is the difference between moderate sedation and deep sedation?

Minimal sedation is given only to relieve anxiety, with very little effect on patient awareness, while moderate sedation depresses consciousness, but leaves the patient capable of responding to external stimuli (tactile or verbal). In deep sedation, the patient only responds to painful or repeated stimuli.

What level is moderate sedation?

The interchangeable terms “moderate sedation” and “conscious sedation” describe a drug-induced depressed level of consciousness. The patient is still able to respond purposefully to verbal commands either with or without tactile stimulation.

Is propofol moderate or deep sedation?

The use of propofol increases the success of satisfactory deep sedation, but it can produce rapid and profound decreases in level of consciousness and cardiorespiratory function. Data are needed to assess the safety of this drug outside an anesthesiology setting.

What level of sedation is propofol?

It has no analgesic effects; therefore, when used for moderate sedation, propofol frequently has to be administered in amounts to provide deep levels of sedation to allow a painful procedure to be performed.

How much is too much propofol?

-The maximum dosage of propofol for adult sedation in an intensive care setting should not exceed 4 mg/kg/hour.

What type of sedation is used for endoscopy and colonoscopy?

What drug is used for general anesthesia or deep sedation for people having a colonoscopy? At Yale Medicine, anesthesiologists caring for patients who want deep sedation for their colonoscopy typically use a drug called propofol.

Do you get results immediately after endoscopy?

In most cases the endoscopist will be able to tell you the results straight after the test or, if you have been sedated, as soon as you are awake, and you will receive a copy of the endoscopy report to take home. However, if a sample (biopsy) has been taken for examination the results may take a few weeks.

What is an alternative to an endoscopy?

Alternative tests to upper GI endoscopy include a barium x-ray and ultrasound (sonogram) to study the organs in the upper abdomen. Study of the stools, blood and stomach juice can provide indirect information about a gastrointestinal condition.

What happens if you vomit during endoscopy?

If you vomit during the test and some of the vomit enters your lungs, aspiration pneumonia is a possible risk. An irregular heartbeat may happen during the test. But it almost always goes away on its own without treatment. The risk of problems is higher in people who have serious heart disease.

Can you feel pain with moderate sedation?

While you shouldn't feel any pain, you might still feel sensations of pressure. Tell your doctor right away if you start to feel any pain during the procedure. They may need to give you a higher dose. Local anesthesia usually wears off within an hour, but you may feel some lingering numbness for a few hours.

What is Level 3 anesthesia?

Level 3 (deep sedation) – the patient can respond to repeated painful stimuli, he can't be aroused easily. The patient may need help breathing but the heart function still remains normal.

Is IV sedation better than general anesthesia?

IV sedation does cause partial memory loss, and patients will not remember any of their procedure. Recovery is fast and patients will be back to their routine quickly. IV sedation is a safer option compared to general anesthesia.

What is excessive sedation?

Excessive sedation is a dose-related phenomenon that may lead to an inability to protect or maintain a patent airway in the nonintubated patient. From: Cardiac Intensive Care (Third Edition), 2019.