enterologist before procedures.
They also administer propofol, which has a rapid
onset and short half-life, making it perfectly suited
to sedate and recover patients quickly during this
high-volume, rapid room turnover specialty.
"Patients are comfortable during the exam, and
ready for an expedient discharge,"
says Mr. Vasend.
Propofol can be titrated and
infused throughout the procedure
based on the patient's vital signs
and procedural progress, points
out Mr. Vasend. "Once the endo-
scopist reaches the cecum, we're
able to tailor or time the infusion
dose to provide for a near imme-
diate patient wake-up upon com-
pletion of the procedure," he
explains. "The end result maxi-
mizes procedure room efficiency."
Mr. Vasend says other anesthet-
ics such as ketamine are used for
endoscopy procedures, but are
not as effective as propofol for
maintaining efficient discharges
and often cause unwanted side
effects such as nausea and vomit-
ing that extend recovery times.
All patients receiving anesthe-
sia should be fully monitored for
heart rate, blood pressure, oxy-
gen saturation and end-tidal CO2
levels, says Mr. Vasend. The mon-
itors he uses travel with patients
in order to maintain an efficient
flow and improve admit and dis-
charge times. The monitors have
touchscreen controls, are easily
attached to patients before proce-
dures and can be cleaned quickly
between uses.
Mr. Vasend says the use of
capnography, which measures
end-tidal CO2, is essential not
only for patient safely, but to sup-
port an anesthesia provider's abil-
ity to tailor propofol infusion for an even more
rapid recovery. "Capnography provides important
information about the patient's respiratory status,
and insights into assessing the depth of anesthesia,"
he explains. "These monitoring considerations are
essential for patient safety and quality of care."
OSM
D E C E M B E R 2 0 2 0 • O U T P A T I E N T S U R G E R Y . N E T • 5 9
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