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Related Experiment Videos

Sedation for endoscopy.

R C Hutchinson1, G N Kenny

  • 1University Department of Anaesthesia, Royal Infirmary, Glasgow, UK.

Current Opinion in Anaesthesiology
|October 4, 2006
PubMed
Summary
This summary is machine-generated.

Unsedated endoscopy is gaining favor, but most US patients cannot tolerate it. Physicians must manage patient expectations to encourage wider adoption of this procedure.

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Area of Science:

  • Gastroenterology
  • Medical Procedures

Background:

  • Growing literature supports unsedated endoscopy.
  • Most US patients are unwilling or unable to tolerate unsedated procedures.
  • Endoscopic procedures are expanding in complexity, requiring patient cooperation.

Purpose of the Study:

  • To review the literature on unsedated endoscopy.
  • To identify barriers to patient acceptance of unsedated endoscopy.
  • To discuss the implications for clinical practice and sedative regimens.

Main Methods:

  • Literature review of recent studies on unsedated endoscopy.
  • Analysis of patient tolerance and physician perspectives.
  • Discussion of current trends and future needs in endoscopic sedation.

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Main Results:

  • Published opinion favors unsedated endoscopy.
  • Majority of US patients show low tolerance for unsedated procedures.
  • Patient expectations need to be addressed for successful implementation.

Conclusions:

  • A significant gap exists between physician preference and patient acceptance of unsedated endoscopy.
  • Physician-led changes in patient expectation are crucial for adopting unsedated endoscopy.
  • Further refinement of sedative regimens is necessary for complex endoscopic procedures.