Sedation and sedationless endoscopy.
Sedation and analgesia are provided routinely for patients undergoing endoscopic procedures. This article reviews the clinical experience with the medications commonly used for this purpose. Furthermore, advantages and disadvantages of alternative agents are also discussed. There are multiple practice guidelines available to the gastrointestinal endoscopist and both the attributes and limitations of these guidelines are presented. In an effort to control costs and improve productivity, sedationless endoscopy has been introduced into the practice of some endoscopists. The advantages and limitations of sedationless endoscopy, as well as the clinical experience to date, are reviewed.
Zuccaro
G
G
Section of Gastrointestinal Endoscopy, Department of Gastroenterology, Cleveland Clinic Foundation, Cleveland, Ohio 44195, USA.
D000698:Analgesia; D000700:Analgesics / Q000627:therapeutic use; D016292:Procedural Sedation; D003363:Cost Control; D004526:Efficiency; D020776:Endoscopes, Gastrointestinal; D016099:Endoscopy, Gastrointestinal / Q000191:economics / Q000379:methods; D004867:Equipment Design; D006801:Humans; D006993:Hypnotics and Sedatives / Q000008:administration & dosage*; D008991:Monitoring, Physiologic; D017410:Practice Guidelines as Topic
D000700:Analgesics; D006993:Hypnotics and Sedatives