Sedation in the Endoscopy Suite.

Curr Treat Options Gastroenterol

Department of Gastroenterology and Hepatology, Cleveland Clinic, 9500 Euclid Avenue, Cleveland, OH, 44195, USA.

Published: June 2016

AI Article Synopsis

  • Sedation practices in endoscopy have evolved from moderate sedation or no sedation to using monitored anesthesia care (MAC), involving anesthesiologists and new medications.
  • Understanding this change involves knowledge of sedation depth, patient selection, drug use, and monitoring to ensure safety and effective recovery.
  • The article aims to highlight the unique challenges within the endoscopy suite related to healthcare quality and the need for economical patient care.

Article Abstract

Sedation practices in the endoscopy suite have changed dramatically in the decades since the introduction of routine colonoscopy and esophagogastroduodenoscopy (EGD). Patients initially received moderate sedation (or even no sedation), but now frequently receive monitored anesthesia care (MAC). This significant shift has introduced anesthesiologists to the endoscopy suite along with new sedative medications and safety concerns. Appreciating the ramifications of this change requires an understanding of sedation depth, patient selection, drug use, sedation delivery, patient monitoring, recovery from sedation, and patient outcomes. Furthermore, the changing landscape of healthcare quality and reimbursement challenges us to provide the best possible care for our patients in the most economical way possible. The endoscopy suite is a unique sedation environment, and it is the purpose of this article to review those elements that contribute to a uniquely demanding work environment.

Download full-text PDF

Source
http://dx.doi.org/10.1007/s11938-016-0089-8DOI Listing

Publication Analysis

Top Keywords

endoscopy suite
16
sedation
8
sedation endoscopy
4
suite
4
suite sedation
4
sedation practices
4
practices endoscopy
4
suite changed
4
changed dramatically
4
dramatically decades
4

Similar Publications

Article Synopsis
  • - Ex vivo fluorescence laser scanning microscopy (FCM) enables real-time imaging of fresh tissue samples without traditional slide preparation, and this study specifically investigates its application in evaluating biopsy samples from endoscopic procedures for lung lesions and lymph nodes.
  • - The study involved 32 patients, showing that the FCM Vivascope 2500 could accurately assess sample adequacy and malignancy, with a perfect agreement noted between its evaluations and final histological results.
  • - The findings suggest that FCM could significantly improve the speed of diagnostic information during endoscopic biopsies, potentially enhancing patient management by reducing the time needed to diagnose lung cancer.
View Article and Find Full Text PDF

Cytometry is an advanced technique for simultaneously identifying and quantifying many cell surface and intracellular proteins at a single-cell resolution. Analyzing high-dimensional cytometry data involves identifying and quantifying cell populations based on their marker expressions. This study provided a quantitative review and comparison of various ways to phenotype cellular populations within the cytometry data, including manual gating, unsupervised clustering, and supervised auto-gating.

View Article and Find Full Text PDF

Exercise-Induced Laryngeal Obstruction History, Mechanisms, and Diagnostics Across the Globe.

Immunol Allergy Clin North Am

February 2025

Department of Kinesiology, Indiana University, School of Public Health-Bloomington, SPH Suite 112, 1025 East 7th Street, Bloomington, IN 47405, USA.

Article Synopsis
  • Exercise-induced laryngeal obstruction (EILO) is a challenging condition that affects mostly young people, with a prevalence of 5% to 8%, and has recently been categorized under inducible laryngeal obstruction.
  • Diagnosing EILO is difficult, but continuous laryngoscopy during exercise is considered the best method for accurate diagnosis.
  • Effective management requires teamwork among healthcare professionals and standardized evaluation methods, while future studies should aim to understand the condition better and enhance treatment outcomes.
View Article and Find Full Text PDF

Racial Disparities in Inpatient Hospital Outcomes of Primary Sclerosing Cholangitis in United States: Nationwide Analysis.

Diagnostics (Basel)

November 2024

Parkview Cancer Institute, Advanced Interventional Endoscopy & Endoscopic Oncology (IOSE) Division, GI Oncology Program, 11104 Parkview Circle, Suite 310, Fort Wayne, IN 46845, USA.

Article Synopsis
  • Primary sclerosing cholangitis (PSC) is a liver disease linked to inflammatory bowel disease and can cause serious liver complications; this study investigates trends in healthcare usage and mortality related to PSC in the U.S. from 2008 to 2017.
  • The analysis of the Nationwide Inpatient Sample reveals that while hospital charges for PSC patients rose by 32.2%, the average length of hospital stays decreased during the study period, indicating changes in healthcare practices.
  • Additionally, there was a notable increase in the severity of illness and risk of death among PSC patients, with a rise in cases of hepatocellular carcinoma (HCC), while cases of cholangiocarcinoma (CCA) saw a decline.
View Article and Find Full Text PDF

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!