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Anesthesia for Gastrointestinal Endoscopic Procedures 

Anesthesia for Gastrointestinal Endoscopic Procedures
Chapter:
Anesthesia for Gastrointestinal Endoscopic Procedures
Author(s):

Lori Kral Barton

and Regina Y. Fragneto

DOI:
10.1093/med/9780190495756.003.0019
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date: 21 August 2019

As the population ages, patients presenting for endoscopic procedures are more likely to have significant comorbidities. In addition, endoscopic procedures of increasing complexity are being performed. While there are significant differences among geographic regions in the United States, anesthesia care providers are providing sedation or general anesthesia for a greater proportion of procedures performed in the endoscopy suite. A variety of drugs and anesthetic techniques have been used successfully. Propofol remains the most commonly used drug when sedation is provided by an anesthesia professional, sometimes as a sole agent and sometimes in combination with other medications. Dexmedetomine and ketamine have also been used successfully. Patient characteristics and the specific needs of the endoscopist based on the procedure being performed will determine the most appropriate anesthetic regimen for each patient. For more complex endoscopic techniques, general anesthesia may be preferred, with some data indicating improved success of the procedure.

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