Abstract
Conscious sedation (superficial sedation) is the pharmacological minimal or moderate depression of the state of consciousness with the aim of reducing patient anxiety and discomfort, while providing procedure amnesia during simple endoscopic procedures like gastroscopy or colonoscopy.
Prior to the procedure, informed consent is obtained and patients are assessed by the ASA scale and Mallampati score.
Sedation is achieved using benzodiazepines, opioids, or propofol as well as nonpharmacological measures. Patients are closely monitored and sedation assessed by the RASS scale. Patients wake up spontaneously or following administration of antagonist’s drugs. Complications are rare and mild.
Discharge is performed with standard recommendations after patient assessment with the modified Aldrete score or the post-anesthetic discharge scoring system (PADSS).
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Stănculescu, A., Drăgoescu, A. (2023). Superficial (“Conscious”) Sedation. In: Săftoiu, A. (eds) Pocket Guide to Advanced Endoscopy in Gastroenterology. Springer, Cham. https://doi.org/10.1007/978-3-031-42076-4_13
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DOI: https://doi.org/10.1007/978-3-031-42076-4_13
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