Average doseage of conscious sedation while doing endoscopy's - page 8
I am interested in the average dose of conscious sedation that Endo nurses are giving. We use demerol and versed at my hospital and feel that several of our doctors need more education on conscious... Read More
Nov 7, '08I stand corrected and thank you for pointing out the ASA standard. In my practice, I prefer verbal stimuli, because I find tactile stimuli to be related to where you stimulate the patient and have even seen bruising from deep stimulation. Also, one can keep talking to a patient, but cannot continue tactile stimulation.
Keep the good discourse coming. We all learn from it.
Nov 20, '09that is a very scary thought!! completly agree with the previous posting. every person is different, titrate!!
Jul 6, '11I found this thread when I searched for the recommended dose of med during endoscopies. I am a patient and have had two.
In the first one, some years ago, which was both a colonoscopy and endoscopy, I was fine afterwards, and the report said I had been given for the colonoscopy 3 mg Versed and 75 mg Demerol with an additional 25 mg Demerol. The endoscopy was afterwards and I had 2 mg of Versed.
Recently I had just an endoscopy by a different doctor and I was very wobbly when I left. When I got home, I realized that I must have fallen at some point, I assume during recovery, as my tailbone hurt and was black and blue. Also my back hurt near the spine if I moved in various directions. According to the report, I was given 10 mg of Versed and 100 mcg of Fentanyl.
So this is just a plea from a patient to watch over people in recovery so that they do not hurt themselves, and to not overmedicate.
Jul 6, '11And I could NEVER get past the curiosity! I would request a copy of the full reports AND nurses' notes.
NOT a wise idea to leave me visible souveniers like that w/o at least a casual mention of them. Pooh happens, some times strange "reactions" occur to various meds - but I'm gonna wanna know about them 'cause I "can" develop a suspicious mind when it is ignored by those who are "in the know".
Jul 6, '11I actually have the doctor's report, no mention of this, but I suspect it happened in recovery, so she may not know about it. I don't know that the nurses(?) do a separate report. I want to tread gently so as not offend anyone, but I will ask her at my next appointment.
Aug 12, '11DON'T ever be afraid to offend someone! It is your health and your body. Recently I had an upper scope, went fine but was not told what they were knocking me out with till I asked. Bad effects with the versed. Two weeks later had colonoscopy and it was a nightmare. 200 fen and 8 versed. Woke up crying in pain and NOTHING was done. I'm sure doc was counting on amnesia effect. Resulting pain sent me to ER where I got strong pain meds I had to take for nearly 2 days till I could heal up. I keep a current file of all my medical records and encourage others to do the same. You would be surprised how many errors are logged in your file. It also allows you to accurately tell medical personnel what did and did not work for you in what doses. If ANY doctor hurts you do not go back to them nor let them refer you to one of their friends!
Aug 12, '11Oh, yeah. There are Nurse's Notes separate from the doctor's dictated report for each of these procedures. There are sedation/anesthesia reports separate from the doctor's dictated reports. There is much more included in the full medical record from a procedure than just the doctor's dictated results.
Aug 15, '11I don't know the usuals for this nursing field and did not read all of the posts...
I had a colonoscopy last month for a new cancer dx and received propofol. It worked great and I recovered VERY quickly with no memory of the event and no post procedure discomfort. Of course, the FDA considers that an anesthetic and not a sedative.