Outpatient Surgery Magazine

Special Outpatient Surgery Edition - Gastroenterology - January 2019

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

Issue link: http://magazine.outpatientsurgery.net/i/1070678

Contents of this Issue

Navigation

Page 51 of 58

5 2 • O U T PA T I E N T S U R G E R Y M A G A Z I N E • J A N U A R Y 2 0 1 9 A dministering anesthesia in our GI procedure rooms typ- ically comes down to deciding between moderate seda- tion with midazolam and fentanyl or deep sedation with propofol. The optimal choice is made on a case- by-case basis, depending on each patient's health status and the procedure we're about to perform. The decision-making process begins with a baseline health assess- ment that checks patients for comorbid conditions — cardiac and pul- monary issues, diabetes and kidney problems — that could increase sedation risks. Patients also undergo a heart, lung and airway exam performed by an anesthesiologist. Although routine health screenings raise many red flags, we also have protocols in place to double-check a patient's condition. If we discover a concerning medical condition at the last minute, we determine if the procedure can proceed or if we Adam Jacob, MD | Rochester, Minn. Make the Right Choice for Safe Sedation It's best to base the consciousness level on the patient and the procedure. • PLEASING PUSH Patients report higher satisfaction following endoscopic procedures after sedation with propofol than with other sedation medications such as midazolam and fentanyl. Pamela Bevelhymer, RN, BSN, CNOR

Articles in this issue

Archives of this issue

view archives of Outpatient Surgery Magazine - Special Outpatient Surgery Edition - Gastroenterology - January 2019