Patients’ perspective on sedation during upper gastrointestinal endoscopy. Systematic use of sedation or systematic prior information?

Abstract

Although sedation in endoscopy is increasingly used and contributes to the quality of procedures, its role in upper gastrointestinal endoscopy (UGE) is not as well defined as in other procedures. For this reason, we conducted a prospective pilot study where the patient, once informed of the different options, decided whether or not to undergo sedation for UGE. Remarkably, almost 60% preferred not to undergo sedation, with a high degree of satisfaction and no adverse effects in any of the groups (Ferrer Rosique JA, et al. XXXIX Congreso SEED, Toledo 2017).

Practice recommendations for the use of sedation in routine hospital-based colonoscopy

“…Although our recommendations focused on hospital-based colonoscopy, the use of deep sedation has increased for other endoscopic procedures, including gastroscopy and flexible sigmoidoscopy performed in hospitals over the same period 38 39. Given that the role of deep sedation for these procedures is even more controversial,40 41 recommendations pertaining to other endoscopic procedures may also be helpful. Additionally, as consensus was built for our recommendations in the context of hospital-based colonoscopies, our recommendations may not be generalisable to endoscopy performed in the clinic-based setting, where other factors may necessitate the use of anaesthesia services.…”