Colonoscopy & Conscious Sedation - page 6
by GlennRoss | 103,880 Views | 53 Comments
Help. I am an RN, 51 y/o and family hx of colon cancer. I'm scheduled for next week. GI Doc is insisting on sedation for the procedure. After extensive reading I can find no valid reason for sedation other than when the scope... Read More
- 0Nov 2, '10 by Tess SweeneyI have been in GI nursing sine 1989. Rarely are there sedation problems on a patient in generally good health. Everyone has different anatomy. I have seen a ccum reached in a minute. I have seen a tortuous colon that is difficult to navigate and take longer to reach te cecum. You ultimatly hav the decision. I have had the experience of a GI doctor refusing to do a patient not sedated. Good luck to you! Tess
- 1Nov 13, '10 by oncall24/7I think that anatomy and operator skill has a lot to do with complete/incomplete colonoscopies rather than sedation. I could make a good living just providing propofol sedation for colonoscopies; I just don't think that it's necessary to add many hundreds of dollars to the procedure just for sedation. I was an "insider" when I got mine (anes provider) and basically told the GI doc that I didn't want drugs. She agreed and it wasn't bad. The sedation/no sedation issue should be decided before the patient gets to the endo suite. I watched one endo doc squirt 5mg of midazolam into a patients IV as if he was flushing a heparin lock; no titration at all. And then they wonder why the patient has nightmares and memory loss longterm. The GI nurses usually get the sedation right; the GI docs are terrible.
- 0Dec 17, '10 by Englishpatienton monday i had my long overdue first colonoscopy and everything went very well, even the prep was not that bad.
at the consultation the gastro explained every aspect of the procedure (including the negatives) and patiently answered my many questions. we discussed my phobia about being sedated and this caring doctor said he would work with me to do the procedure unsedated, but we aggreed that he would give me propofol (the only med he uses) if things became too uncomfortable.
on the day of the procedure the nurses tried talking me into sedation and the anesthesiologist also did not think it was possible without meds - saying i’m here when you need me. i stuck to my guns and i am so glad i did. during my un-sedated procedure i certainly never felt any pain and i really can't say i was uncomfortable either. for me, the procedure was comparable to the feeling of gnawing/growling one feels when very hungry – this did not even reach the level of discomfort. i was not ‘toughing it out’, or being brave – there was nothing to be brave about as there was no pain whatsoever. the doctor and i talked all through the procedure. he was amazed that i was so comfortable and said i was now his poster child (at 61!)for un-sedated c.scopies and he will reconsider having meds for his own c.scopy, after seeing how well it went for me. all credit goes to this caring doctor, who took 40 minutes to do the procedure, for a completely painless and discomfort-free colonoscopy.
two polyps were found and removed and to my surprise i was also found to have diverticulosis. whether you have your colonoscopy with or without sedation is your choice, the important thing is to have the procedure. it could save your life - it may well have saved mine! i will see my gastro in five years for a repeat performance!