Sedation and Anesthesia in GI Endoscopy

Publication Date: February 1, 2018
Last Updated: March 14, 2022


Recommendations for propofol use during endoscopy

  • A sedation team with appropriate education and training.
  • At least 1 person who is qualified in advanced life support skills (ie, airway management, defibrillation, and the use of resuscitative medications).
  • Trained personnel dedicated to the uninterrupted monitoring of the patient’s clinical and physiologic parameters throughout the procedure should be available.
  • Monitoring
    • Physiologic monitoring must include pulse oximetry, electrocardiography, and intermittent blood pressure measurement.
    • Monitoring oxygenation by pulse oximetry is not a substitute for monitoring ventilatory function.
    • Capnography should be considered because it may decrease the risks during deep sedation.
    • Continuous monitoring will allow recognition of patients who have progressed to a deeper level of sedation.
  • Personnel should have the ability to rescue a patient who becomes unresponsive or unable to protect his or her airway or who loses spontaneous respiratory or cardiovascular function.
  • Age-appropriate equipment for airway management and resuscitation must be immediately available.
  • A physician should be present throughout propofol sedation and must remain immediately available until the patient meets discharge criteria.



Sedation and Anesthesia in GI Endoscopy

Authoring Organization