title: Endoscopic Sedation: Medicolegal Considerations.
abstract: Goals of endoscopic sedation are to provide patients with a successful procedure, and ensure that they remain safe and are relieved from anxiety and discomfort; agents should provide efficient, appropriate sedation and allow patients to recover rapidly. Sedation is usually safe and effective; however, complications may ensue. This paper outlines some medicolegal aspects of endoscopic sedation, including informed consent, possible withdrawal of consent during the procedure, standard of care for monitoring sedation, use of anesthesia personnel to deliver sedation, and new agents and devices.
authors.affiliation: University of Washington, Seattle, WA, USA.
authors.forename: Andreas A
authors.initials: AA
authors.lastname: Kralios
authors.affiliation: University of Washington, Seattle, WA, USA.
authors.forename: Kayla A
authors.initials: KA
authors.lastname: Feld
authors.affiliation: University of Washington, Seattle, WA, USA. Electronic address: afeld@u.washington.edu.
authors.forename: Andrew D
authors.initials: AD
authors.lastname: Feld
mesh_terms: D000072080:Anesthesiologists; D016292:Procedural Sedation; D054810:Deep Sedation; D016099:Endoscopy, Gastrointestinal / Q000331:legislation & jurisprudence*; D006801:Humans; D007258:Informed Consent / Q000331:legislation & jurisprudence*; D016365:Liability, Legal; D016343:Monitoring, Intraoperative; D008991:Monitoring, Physiologic; D009719:Nurse Anesthetists; D012308:Risk Management; D059039:Standard of Care
keywords: Endoscopy; Informed consent; Malpractice; Medicolegal risk