Anaesthesia and sedation for gastrointestinal endoscopy

Current Opinion in Anaesthesiology
Kate Leslie, Christopher A Stonell

Abstract

Wide variations exist around the world in the practice of sedation for endoscopy, in terms of the depth of sedation, drug choices, delivery methods and the practitioners involved. These variations are driven by historical, cultural and economic factors. Professional bodies have promulgated guidelines in an attempt to unify and raise standards for sedation and monitoring. Nevertheless, preventable morbidity associated with sedation still occurs. A review of the recent literature is therefore justified. The main themes in this literature are the advent of the widespread use of propofol by non-anaesthesiologists, and particularly non-medical staff; novel methods for administering propofol; the acceptability of endoscopy without sedation; and emerging technologies that obviate the need for endoscopy. There is still much scope to research and refine sedation techniques for endoscopy. We believe that the involvement of anaesthesiologists in this research is vital.

References

Aug 2, 2000·Gastrointestinal Endoscopy·A L BowerJ L Ponsky
Feb 28, 2002·Gastrointestinal Endoscopy·Douglas B NelsonTiina K Johnston
Mar 29, 2002·American Journal of Surgery·Andrea LaghiRoberto Passariello
Apr 20, 2002·Anesthesiology·UNKNOWN American Society of Anesthesiologists Task Force on Sedation and Analgesia by Non-Anesthesiologists
Jul 23, 2003·The American Journal of Gastroenterology·M Samer AmmarJoseph F Fitzgerald
Aug 5, 2003·Internal Medicine Journal·C H ViialaN E Hoffman
Oct 7, 2003·Gastrointestinal Endoscopy·J Patrick WaringUNKNOWN American Society for Gastrointestinal Endoscopy, Standards of Practice Committee
Nov 20, 2003·Surgical Endoscopy·A M ThompsonP A Stonebridge
Dec 23, 2003·The American Journal of Gastroenterology·Jonathan J HansenDouglas K Rex
Feb 3, 2004·Digestion·Ludwig T Heuss, Werner Inauen
Feb 10, 2004·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Lionel BouvetEmmanuel Boselli
Apr 2, 2004·The American Journal of Gastroenterology·Ludwig T HeussChristoph Beglinger
Apr 29, 2004·Gastrointestinal Endoscopy·Mark A GilgerMayssa N Zayat
May 4, 2004·Gastrointestinal Endoscopy Clinics of North America·John J Vargo
Jun 8, 2004·The American Journal of Gastroenterology·Shawn C Chen, Douglas K Rex
Jul 21, 2004·Digestive Diseases and Sciences·Sabina AliDavid A Gremse
Jul 28, 2004·Gastrointestinal Endoscopy·UNKNOWN Training Committee. American Society for Gastrointestinal Endoscopy
Aug 18, 2004·Digestive Diseases and Sciences·Ian D R Arnott, Simon K Lo
Oct 1, 2004·Southern Medical Journal·Ronald A Leo
Oct 1, 2004·Southern Medical Journal·Anand Madan, Anil Minocha
Oct 12, 2004·Mayo Clinic Proceedings·Herbert C WolfsenKenneth R DeVault
Nov 24, 2004·The American Journal of Gastroenterology·Douglas K Rex

❮ Previous
Next ❯

Citations

Feb 2, 2013·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Kazumasa MiyakeChoitsu Sakamoto
Jul 22, 2016·Arquivos Brasileiros De Cirurgia Digestiva : ABCD = Brazilian Archives of Digestive Surgery·Alexandre GomesGabriela Piovezani Ramos
Sep 19, 2007·Brazilian Journal of Medical and Biological Research = Revista Brasileira De Pesquisas Médicas E Biológicas·G YetkinN Eren

❮ Previous
Next ❯

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.