title: On the Horizon: The Future of Procedural Sedation.
abstract: Sedation plays an integral part in endoscopy. By achieving patient comfort, it allows for a better examination and enhances patient satisfaction. Various medications have been used, propofol being the current favorite. With emphasis on patient safety and quality of endoscopy, various new medications in different combinations are being used to achieve adequate sedation and not escalate the cost of the procedure. With the advent of newer medications and newer modalities to administer these medications, there is need for more specialized training for the endoscopist to feel comfortable while using these medications.
authors.affiliation: Department of Gastroenterology and Hepatology, Digestive Disease Institute, Cleveland Clinic, Cleveland, OH, USA.
authors.forename: Gursimran S
authors.initials: GS
authors.lastname: Kochhar
authors.affiliation: Saraswathi Institute of Medical Sciences, Anwarpur, Uttar Pradesh, India.
authors.forename: Anant
authors.initials: A
authors.lastname: Gill
authors.affiliation: Department of Gastroenterology and Hepatology, Digestive Disease Institute, Cleveland Clinic, Cleveland Clinic Foundation, A-30, 9500 Euclid Avenue, Cleveland, OH, USA. Electronic address: vargoj@ccf.org.
authors.forename: John J
authors.initials: JJ
authors.lastname: Vargo
mesh_terms: D000762:Anesthesia Recovery Period; D001569:Benzodiazepines / Q000627:therapeutic use; D016292:Procedural Sedation / Q000379:methods / Q000639:trends*; D054810:Deep Sedation / Q000379:methods / Q000639:trends*; D020927:Dexmedetomidine / Q000627:therapeutic use; D016099:Endoscopy, Gastrointestinal / Q000379:methods / Q000639:trends*; D005762:Gastroenterology / Q000193:education; D006801:Humans; D006993:Hypnotics and Sedatives / Q000627:therapeutic use; D007649:Ketamine / Q000627:therapeutic use; D017060:Patient Satisfaction; D010880:Piperidines / Q000627:therapeutic use; D015742:Propofol / Q000031:analogs & derivatives / Q000627:therapeutic use; D000077208:Remifentanil
chemical_list: D006993:Hypnotics and Sedatives; D010880:Piperidines; D001569:Benzodiazepines; D020927:Dexmedetomidine; D007649:Ketamine; C522201:remimazolam; C472965:fospropofol; D000077208:Remifentanil; D015742:Propofol
keywords: Endoscopic sedation; Propofol; Sedation