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://outpatientsurgery.uberflip.com/i/1070678

Contents of this Issue

Navigation

Page 55 of 58

attends to patients' post-procedural care. Propofol is considered by some to be the ideal sedating agent for endoscopic procedures due to its rapid onset, short half-life and easy ability titrate doses to achieve the desired level of sedation. It can be used to achieve mild, medium and deep sedation, and recovery is typi- cally much quicker than with the midazolam-fentanyl combination. Patients who regularly use sedatives and narcotics are often insensi- tive to standard benzodiazepine sedation and may also benefit from propofol sedation. For procedures involving deep sedation with propofol, we monitor the patient's heart rate and non-invasive blood pressure, and employ continuous pulse oximetry, continuous ECG and capnography. Constantly evolving A team here at the Mayo Clinic regularly reviews indications for seda- tion levels and improves the triaging of patients to moderate or deep sedation based on procedure type, medical complexity and history of difficult sedations. Everything we do, from the time a patient is first con- tacted to the last touch before discharge, is designed to make sure all patients receive safe sedation and appropriate care. OSM 5 6 • 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 Dr. Jacob (jacob.adam@mayo.edu) is a consultant in the department of anes- thesiology and perioperative medicine and an associate professor of anesthesiolo- gy at the Mayo Clinic in Rochester, Minn.

Articles in this issue

Links on this page

Archives of this issue

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