Average doseage of conscious sedation while doing endoscopy's

Mindy, there is NOTHING painful about the upper endoscopy! NOTHING. IF you aren't "adequately sedated" the absolute WORST you will encounter is some strong gagging. And given the throat spray they use you might likely not even counter that or just mild gagging.

It is the lower scope, the colonoscopy, that CAN be painful if the scopist doesn't take his/her time and proceed slowly or gets too carried away w/the amount of air used to distend the colon to allow for easier passage of the scope.

AND! No nasty prep for the upper endoscopy!!! County your blessings! You're getting off easy w/just the endoscopy!!

THANKS!!! A TON!!!

How considerate of the doctors to order more sedation (amnesiac) than analgesia.

Also remember the term is CONSCIOUS sedation. The patient must be able to respond to verbal stimuli or else it is general anesthesia.

Moderate Sedation/Analgesia (Conscious Sedation): a drug-induced depression of consciousness during which patients respond purposefully* to verbal commands, either alone or accompanied by light tactile stimulation. No interventions are required to maintain a patent airway, and spontaneous ventilation is adequate. Cardiovascular function is usually maintained.

Deep Sedation/Analgesia: a drug-induced depression of consciousness during which patients cannot be easily aroused but respond purposefully* following
repeated or painful stimulation. The ability to independently maintain ventilatory function may be impaired. Patients may require assistance in maintaining a patent
airway, and spontaneous ventilation may be inadequate. Cardiovascular function is usually maintained.

General Anesthesia: a drug-induced loss of consciousness during which patients are not arousable, even by painful stimulation.

Do the patients a favor and hire a CRNA to do the sedation.

.....the physiology of the monitoring including the A-a ratio seen with pulse oximetry....