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Abstract
Abstract
Safe and effective gastrointestinal endoscopy demands the availability of adequately trained and certified endoscopists, adequately trained nursing staff and fully immersible endoscopy equipment. Accessories should be either single use or suitable for reprocessing and adequate supportive services including the ability to deliver oxygen and to monitor oxygen levels, adequate suction facilities and resuscitation equipment.
Most endoscopic procedures are performed with the patient under moderate sedation and analgesia which is also known as ”conscious sedation”. At this level of sedation, the patient is able to make a purposeful response to verbal or tactile stimulation and both ventilatory and cardiovascular function are maintained. Patient responsiveness during ”deep sedation” involves purposeful responses to painful stimuli. Airway support may be required. At level of general anesthesia, the patient is unarousable, even to painful stimuli.