Sedation and Monitoring in Gastrointestinal Endoscopy

摘要

This issue of Gastrointestinal Endoscopy Clinics of North America entitled, "Sedation and Monitoring in Gastrointestinal Endoscopy," deals with an element of our practice landscape that has changed dramatically over the past 10 years. In the last iteration of this topic in Gastrointestinal Endoscopy Clinics of North America, the majority of procedural sedation revolved around moderate sedation with a combination of a benzodiazepine and opioid that was delivered under the direction of the endoscopist. Exciting data on gastroenterologist-directed propofol sedation were coming to fruition with the promise of continued safety and satisfaction with vastly improved throughput parameters. How much things have changed in 10 years! Anesthetist-directed propofol sedation has literally and figuratively become the coin of the realm. In some areas of the country, gastroenterologists no longer practice procedural sedation and fellows graduate from their programs not being trained in this technique.