title: Preprocedural Assessment for Sedation in Gastrointestinal Endoscopy.
abstract: The role of the anesthesia service in sedation for gastrointestinal endoscopy (GIE) has been steadily increasing. The goals of preprocedural assessment are determined by the specific details of the procedure, the issues related to the illness that requires the endoscopy, comorbidities, the goals for sedation, and the risk of complications from the sedation and the endoscopic procedure. Rather than consider these issues as separate entities, they should be considered as part of a continuum of preparation for GIE. This is told from the perspective of an anesthesiologist who regularly participates in the full range of sedation for GIE.
authors.affiliation: Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, Department of General Anesthesia, Cleveland Clinic, 9500 Euclid Avenue, Cleveland, Ohio 44195, USA. Electronic address: Tetzlaj@ccf.org.
authors.forename: John E
authors.initials: JE
authors.lastname: Tetzlaff
authors.affiliation: Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, Department of General Anesthesia, Cleveland Clinic, 9500 Euclid Avenue, Cleveland, Ohio 44195, USA.
authors.forename: Walter G
authors.initials: WG
authors.lastname: Maurer
mesh_terms: D000776:Anesthesiology; D002318:Cardiovascular Diseases / Q000453:epidemiology; D015897:Comorbidity; D016292:Procedural Sedation; D054810:Deep Sedation; D016099:Endoscopy, Gastrointestinal / Q000379:methods*; D005762:Gastroenterology; D005767:Gastrointestinal Diseases / Q000175:diagnosis* / Q000453:epidemiology; D006801:Humans; D007431:Intraoperative Complications / Q000453:epidemiology; D008171:Lung Diseases / Q000453:epidemiology; D009422:Nervous System Diseases / Q000453:epidemiology; D010819:Physician's Role; D011300:Preoperative Care / Q000379:methods*; D051436:Renal Insufficiency, Chronic / Q000453:epidemiology; D018570:Risk Assessment / Q000379:methods*
keywords: Aspiration; Cardiac disease; Difficult airway; Hypoxemia; Pulmonary disease; Sedation; The risk of complications; The “anesthesia approach to preparation”