ASGE Sedation and Anesthesia in GI Endoscopy Guideline Summary

RECOMMENDATIONS

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.

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Sedation and Anesthesia in GI Endoscopy