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Related Experiment Videos

Colonoscopy without sedation

M S Hoffman1, T W Butler, T Shaver

  • 1Department of Gastroenterology, Department of Veterans Affairs, Bay Pines Medical Center, Florida 33744, USA.

Journal of Clinical Gastroenterology
|July 2, 1998
PubMed
Summary
This summary is machine-generated.

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Most patients can successfully undergo colonoscopy without conscious sedation. A majority are willing to repeat the procedure without sedation, making it a potentially safer and more cost-effective option.

Area of Science:

  • Gastroenterology
  • Endoscopy
  • Patient Care

Background:

  • Colonoscopy is commonly performed with conscious sedation.
  • The necessity and patient acceptance of routine sedation require further investigation.

Purpose of the Study:

  • To evaluate the feasibility and patient tolerance of colonoscopy without sedation.
  • To assess patient willingness for future colonoscopies without sedation.

Main Methods:

  • 109 patients undergoing colonoscopy were offered the option of no premedication.
  • Pain severity and willingness for future procedures were assessed using analog scales.
  • Data were analyzed to determine predictors of sedation preference.

Main Results:

Related Experiment Videos

  • 80 patients completed colonoscopy without sedation; only 6% required it for completion.
  • While 46% reported no or mild pain, 20% experienced severe pain.
  • 73% were willing to undergo repeat colonoscopy without sedation, with pain severity as a key predictor.

    • Conclusions:

    • Colonoscopy without sedation is feasible for most patients.
    • Patient willingness for repeat procedures is high, suggesting sedation can be optional.
    • Offering sedation by choice enhances cost-effectiveness and safety, presenting a viable alternative to routine sedation.