Sedation and analgesia.
In the United States sedation and analgesia is the standard of practice when performing upper and lower gastrointestinal endoscopy. Many of these endoscopic procedures are performed in ambulatory endoscopy centers, including ambulatory surgery centers. This article reviews new Joint Commission on Accreditation of Healthcare Organizations standards for sedation and analgesia, drugs used for sedation and analgesia (including side effects), patient assessment and monitoring (before, during, and postprocedure), and discharge of patients from the ambulatory endoscopy center.
Vicari
Joseph J
JJ
Department of Medicine, University of Illinois College of Medicine, 1601 Parkview Ave., Rockford, IL 6407, USA. jvicari@uic.edu
D000554:Ambulatory Care Facilities; D000556:Ambulatory Surgical Procedures / Q000592:standards; D000698:Analgesia / Q000379:methods / Q000592:standards*; D016292:Procedural Sedation / Q000592:standards*; D016099:Endoscopy, Gastrointestinal / Q000379:methods*; D017408:Guidelines as Topic; D006801:Humans; D018570:Risk Assessment; D017749:Total Quality Management; D014481:United States