Sedation in the Ambulatory Endoscopy Center: Optimizing Safety, Expectations and Throughput

Gastrointest Endosc Clin N Am. 2016 Jul;26(3):539-52. doi: 10.1016/j.giec.2016.02.005.

Abstract

In the United States, sedation and analgesia are the standard of practice when endoscopic procedures are performed in the ambulatory endoscopy center. Over the last 30 years, there has been a dramatic shift of endoscopic procedures from the hospital outpatient department to ambulatory endoscopy centers. This article will discuss sedation and analgesia in the ambulatory endoscopy center as it relates to optimizing safety, patient expectations, and efficiency.

Keywords: Efficiency; Medication; Optimizing safety; Patient expectations; Patient monitoring.

Publication types

  • Review

MeSH terms

  • Ambulatory Care Facilities*
  • Analgesics, Opioid / therapeutic use
  • Antidotes / therapeutic use
  • Benzodiazepines / therapeutic use
  • Conscious Sedation / methods*
  • Deep Sedation / methods*
  • Efficiency
  • Endoscopy, Gastrointestinal / methods*
  • Flumazenil / therapeutic use
  • Humans
  • Hypnotics and Sedatives / therapeutic use
  • Monitoring, Intraoperative / methods*
  • Naloxone / therapeutic use
  • Narcotic Antagonists / therapeutic use
  • Patient Safety
  • Propofol / therapeutic use

Substances

  • Analgesics, Opioid
  • Antidotes
  • Hypnotics and Sedatives
  • Narcotic Antagonists
  • Benzodiazepines
  • Naloxone
  • Flumazenil
  • Propofol