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Related Concept Videos

Endoscopic Procedures I: Esophagogastroduodenoscopy01:29

Endoscopic Procedures I: Esophagogastroduodenoscopy

An Esophagogastroduodenoscopy (EGD) is a diagnostic procedure in which an endoscopist uses a flexible, lighted endoscope to visualize the upper gastrointestinal (GI) tract. The procedure includes visualizing the oropharynx, esophagus, stomach, and the first part of the small intestine, the duodenum.
During an EGD, the endoscope can be used to:
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Parenteral Anesthetics: Overview01:24

Parenteral Anesthetics: Overview

Intravenous anesthetics are drugs administered parenterally to induce anesthesia or sedation. Propofol is a widely used agent formulated as a 1% emulsion in soybean oil, glycerol, and egg phosphatide. It induces rapid anesthesia primarily due to its rapid distribution from the bloodstream to target tissues and is metabolized in the liver. However, it can cause significant pain on injection and hypertriglyceridemia. Fospropofol, a water-based prodrug of propofol, lacks these adverse effects.
Endoscopic Procedures V: ERCP01:26

Endoscopic Procedures V: ERCP

Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
Patient...
Endoscopic Procedures II: Colonoscopy01:25

Endoscopic Procedures II: Colonoscopy

The colon, or large intestine, is the final segment of the digestive system. Its primary functions include absorbing water and vitamins produced by gut bacteria and transforming waste from liquid to solid to form stool. In adults, the large intestine is approximately 5 feet long and consists of four main sections:
Stages of General Anesthesia01:22

Stages of General Anesthesia

Various sedation levels offer significant advantages in facilitating procedural interventions for patients undergoing medical or invasive surgical procedures. These levels span from anxiolysis to general anesthesia, providing a spectrum of sedative effects to cater to specific patient needs. Anxiolysis reduces anxiety and is achieved through minimal sedation, enabling patients to remain awake and responsive while feeling more at ease during the procedure. This level can benefit minor...

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Updated: Jun 28, 2026

Guidelines for Elective Pediatric Fiberoptic Intubation
11:19

Guidelines for Elective Pediatric Fiberoptic Intubation

Published on: January 17, 2011

Endoscopic sedation in pediatric practice.

Meghan E Fredette1, Jenifer R Lightdale

  • 1Division of Gastroenterology and Nutrition, Children's Hospital Boston, Boston, MA 02115, USA.

Gastrointestinal Endoscopy Clinics of North America
|October 17, 2008
PubMed
Summary
This summary is machine-generated.

Pediatric endoscopy sedation balances patient factors and anesthesia support. Common methods include intravenous sedation and propofol, with improved safety due to advanced ventilatory monitoring.

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Drug-Induced Sleep Endoscopy (DISE) with Target Controlled Infusion (TCI) and Bispectral Analysis in Obstructive Sleep Apnea
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Drug-Induced Sleep Endoscopy (DISE) with Target Controlled Infusion (TCI) and Bispectral Analysis in Obstructive Sleep Apnea

Published on: December 6, 2016

Related Experiment Videos

Last Updated: Jun 28, 2026

Guidelines for Elective Pediatric Fiberoptic Intubation
11:19

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Published on: January 17, 2011

Drug-Induced Sleep Endoscopy (DISE) with Target Controlled Infusion (TCI) and Bispectral Analysis in Obstructive Sleep Apnea
07:54

Drug-Induced Sleep Endoscopy (DISE) with Target Controlled Infusion (TCI) and Bispectral Analysis in Obstructive Sleep Apnea

Published on: December 6, 2016

Area of Science:

  • Pediatric Gastroenterology
  • Anesthesiology
  • Medical Device Technology

Background:

  • Sedation practices for pediatric endoscopy require careful consideration of patient-specific factors like age, medical history, clinical status, and anxiety.
  • Access to anesthesia support is a critical factor influencing sedation method selection.
  • Current trends indicate a prevalence of endoscopist-administered intravenous (IV) sedation and anesthesiologist-administered propofol for pediatric gastrointestinal procedures.

Purpose of the Study:

  • To review current sedation practices in pediatric endoscopy.
  • To highlight common sedation regimens used in children.
  • To discuss the impact of technological advancements on patient safety during these procedures.

Main Methods:

  • A survey of pediatric gastroenterologists was conducted to gather data on sedation practices.
  • Review of current literature on pediatric endoscopy sedation.
  • Analysis of the role of advanced ventilatory monitoring in patient safety.

Main Results:

  • Pediatric endoscopy sedation decisions are multifactorial, involving patient characteristics and resource availability.
  • Intravenous sedation administered by endoscopists and propofol administered by anesthesiologists are frequently employed sedation strategies.
  • Technological advancements in ventilatory monitoring enhance patient safety across different sedation modalities.

Conclusions:

  • Optimizing sedation for pediatric endoscopy necessitates a comprehensive approach considering individual patient needs and available resources.
  • The choice of sedation regimen is influenced by both clinical factors and the availability of specialized anesthesia support.
  • Enhanced patient safety in pediatric gastrointestinal procedures is being driven by innovations in monitoring technology, irrespective of the specific sedation technique employed.