, Volume 58, Issue 11, pp 3061-3063
Date: 29 Aug 2013

Deep Sedation or General Anesthesia for ERCP?

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Ideal sedation for endoscopic procedures should maximize patient comfort and safety. However, during many endoscopic procedures performed under conscious (i.e., moderate) sedation, patient comfort is compromised to some extent in the interest of safety. Although conscious sedation was the mainstay for most endoscopic procedures over the initial decades of endoscopy, anesthesia services have increasingly been utilized over recent years to provide deeper levels of sedation [1]. The key driver for increased anesthesia utilization over the last decade has been the need to improve patient comfort, satisfaction, and safety while simultaneously improving the efficiency of endoscopy units. A significant facilitating factor has been the introduction and availability of new pharmaceutical agents such as propofol, which allow rapid induction of deep sedation while also enabling rapid recovery [2]. Propofol sedation for gastroscopy and colonoscopy is as safe as sedation using traditional agents, w