Abstract
Since endoscopic ultrasound is uncomfortable and time-consuming, sedation is necessary to improve patient satisfaction and procedure success rate. Although moderate sedation using benzodiazepines and opioids is widely used, dexmedetomidine or propofol sedation is becoming popular. The following three points may increase the burden on the patient and provoke body movement; (1) when passing through the pharynx, (2) when passing through the pylorus, and (3) when shortening the duodenal second portion. Gentle maneuver is needed, and additional sedation should be prepared. It is critical to perform sufficient pre-evaluations for each patient. Elderly patients should receive reduced doses of sedative agents. Additional doses should be carefully considered based on the monitoring and direct observation of the patient’s condition.
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Nishizawa, T., Suzuki, H. (2021). Sedation for Endoscopic Ultrasound. In: Facciorusso, A., Muscatiello, N. (eds) Endoscopic Ultrasound Management of Pancreatic Lesions. Springer, Cham. https://doi.org/10.1007/978-3-030-71937-1_18
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DOI: https://doi.org/10.1007/978-3-030-71937-1_18
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