Document Title Score ASGE-GUIDELINES FOR THE USE OF DEEP SEDATION AND ANESTHESIA FOR GI ENDOSCOPY 100% Description: Background Use of Anesthetic Agents for Endoscopy Efficacy of Propofol for Endoscopic Procedures Administration of Propofol by Non-Anesthesiologists Who Should be Qualified to Give Propofol? 1,2 In general, most endoscopic procedures are performed with the patient under moderate sedation and analgesia, which is also known as conscious sedation. Different patients may require different levels of sedation for the same procedure and patients may attain varying levels of sedation during a single ... ASGE-PRACTICE GUIDELINES FOR SEDATION AND ANALGESIA BY NONANESTHESIOLOGISTS 100% Description: ANESTHESIOLOGISTS possess specific expertise in the pharmacology, physiology, and clinical management of patients receiving sedation and analgesia. To assist in this process, the American Society of Anesthesiologists (ASA) has developed these "Guidelines for Sedation and Analgesia by Non-Anesthesiologists. The consultants strongly agree that intravenous administration of sedative and analgesic medications increases the likelihood of satisfactory sedation for both moderate and deep ... ASGE :: DEEP SEDATION GUIDELINES 100% Description: Background Use of anesthetic agents for endoscopy Efficacy of Propofol for Endoscopic Procedures Administration of Propofol by Non-anesthesiologists Who Should be Qualified to Give Propofol? Different patients may require different levels of sedation for the same procedure and patients may attain varying levels of sedation during a single procedure. In the randomized study,11 propofol achieved faster time to sedation, greater depth of sedation and faster recovery than midazolam/meperidine ... GUIDELINES FOR CONSCIOUS SEDATION DURING GASTROINTESTINAL ENDOSCOPY 100% Description: Selected patients may not require any sedation for certain endoscopic procedures. Procedural Monitoring All patients undergoing endoscopic procedures require pre-procedural evaluation to assess their risk and to help manage problems related to pre-existing medical conditions. Standard monitoring of sedated patients undergoing gastrointestinal endoscopic procedures includes recording the heart rate, blood pressure, respiratory rate, and oxygen saturation. ASGE- DEEP SEDATION GUIDELINES 100% Description: Background Use of anesthetic agents for endoscopy Efficacy of Propofol for Endoscopic Procedures Administration of Propofol by Non-anesthesiologists Who Should be Qualified to Give Propofol? Different patients may require different levels of sedation for the same procedure and patients may attain varying levels of sedation during a single procedure. In the randomized study,11 propofol achieved faster time to sedation, greater depth of sedation and faster recovery than midazolam/meperidine ... ASGE- SEDATION AND MONITORING OF PATIENTS 99.75% Description: However, monitoring of patients during endoscopic procedures is only part of optimizing patient safety. Definitions For the purposes of this guideline, endoscopic procedures include any endoscopic procedure employing medications for sedation and/or analgesia. Procedural Monitoring Standard monitoring of sedated patients undergoing gastrointestinal endoscopic procedures includes recording the heart rate, blood pressure, respiratory rate, and oxygen saturation before sedation. ASGE-TRAINING IN PATIENT MONITORING AND SEDATION AND ANALGESIA 99.7% Description: This document is intended to establish guidelines for appropriate training of endoscopists in the techniques of patient monitoring and the administration of sedative and analgesic medications for gastrointestinal endoscopy. INTRODUCTION The ability to provide sedation and analgesia safely and effectively and to ensure patients' clinical stability by appropriate monitoring during gastrointestinal endoscopy are skills that endoscopic trainees must develop. ASGE- GUIDELINES FOR TRAINING IN PATIENT MONITORING AND SEDATION AND ANALGESIA Description: Introduction The ability to provide sedation and analgesia safely and 99.7% effectively and to ensure patients clinical stability by appropriate monitoring during gastrointestinal endoscopy are skills that endoscopic trainees must develop. Trainees must be able to provide the patient with adequate pre-procedure education regarding the sedation/analgesia aspects of the examination. The trainee should understand the significant risk of post-procedure complications of sedation and analgesia and ... ASGE-TRAINING IN PATIENT MONITORING AND SEDATION AND ANALGESIA 99.7% Description: This document is intended to establish guidelines for appropriate training of endoscopists in the techniques of patient monitoring and the administration of sedative and analgesic medications for gastrointestinal endoscopy. INTRODUCTION The ability to provide sedation and analgesia safely and effectively and to ensure patients' clinical stability by appropriate monitoring during gastrointestinal endoscopy are skills that endoscopic trainees must develop. ASGE - PROPOFOL USE DURING GASTROINTESTINAL ENDOSCOPY 99.63% Description: Pharmacologic Properties Propofol is an alkyl phenol derivative that possesses sedative, amnestic, and hypnotic properties but provides minimal analgesia. EGD A randomized study of 40 patients receiving either propofol or midazolam titrated to an equivalent level of sedation prior to endoscopy reported that propofol provided more rapid recovery compared with midazolam, but was associated with pain on injection, a shorter amnesia span, and reduced patient acceptance. Summary Propofol provides ... ASGE-PROPOFOL USE DURING GASTROINTESTINAL ENDOSCOPY 99.63% Description: Pharmacologic properties Propofol is an alkyl phenol derivative that possesses sedative, amnestic, and hypnotic properties but provides minimal analgesia. EGD A randomized study of 40 patients receiving either propofol or midazolam titrated to an equivalent level of sedation prior to endoscopy reported that propofol provided more rapid recovery compared with midazolam, but was associated with pain on injection, a shorter amnesia span, and reduced patient acceptance. Summary Propofol provides ... PROPOFOL USE DURING GASTROINTESTINAL ENDOSCOPY 99.63% Description: Pharmacologic Properties Propofol is an alkyl phenol derivative that possesses sedative, amnestic, and hypnotic properties but provides minimal analgesia. EGD A randomized study of 40 patients receiving either propofol or midazolam titrated to an equivalent level of sedation prior to endoscopy reported that propofol provided more rapid recovery compared with midazolam, but was associated with pain on injection, a shorter amnesia span, and reduced patient acceptance. 18 Another randomized ...