One of the most frequent locations for providing out of operating room anesthesia is the endoscopy suite. In 2009 an estimated 6.9 million upper endoscopy procedures were performed according to the American Society for Gastrointestinal Endoscopy (ASGE). Utilization of anesthesia services for these procedures has risen to 30-35 % of patients nationwide (Goulson and Fragneto, Anesthesiology Clin 27:71-85, 2009). Sedation offered by anesthesia providers has been shown to play a crucial role in safety, efficiency, patient satisfaction and throughput. Anesthesia providers are increasingly consulted to provide sedation for newer, more complex endoscopic procedures. The basic principles and guidelines for evaluating and preparing a patient for a screening upper endoscopy are applicable to the anesthetic management of these advanced endoscopic procedures. In addition, the anesthesia provider must be knowledgeable of the indication, technique, complexity and length of these new procedures. Understanding the risks, complications and patient comorbidities is crucial to providing safe sedation. Upper endoscopic procedures are done for either diagnostic, prognostic, and/or therapeutic purposes. The interventions discussed in this chapter include: standard endoscopy (EGD), endoscopic ultrasound (EUS), endoscopic cystenterostomy, pancreatic necrosectomy and Per oral endoscopic myotomy (POEM).
|Original language||English (US)|
|Title of host publication||Out of Operating Room Anesthesia|
|Subtitle of host publication||A Comprehensive Review|
|Publisher||Springer International Publishing|
|Number of pages||16|
|State||Published - Sep 29 2016|
All Science Journal Classification (ASJC) codes