Afro-Egypt J Infect Endem Dis 2011 Dec ;1(2):A8

 

Sedation for Endoscopy

 

Nouh A

 

Menofia University, Egypt

 

                              

 

ABSTRACT

Ideal sedation has the following characters : easy administration ,large safety profile , rapid onset , induces amnesia , air way safer and keeps the patient cooperative . Side effects of sedation are : agitation , deep sleep , loss of protective air way reflexes , hypoxia and hypotension. The patient should be monitord during sedation by pulse oximetry , ECG or capnography .Supplemental O2 may be needed during sedation. Midazolam is commonly used during endoscopy in a dose of 1-2 mg I.V. up to 5mg , it has minimal side effects in the form of respiratory and cardiovascular instability .The antidote of midazolam is flumazenil. Propofol could be used due to its rapid onset and offset .Propofol depresses the respiratory center so, facilities for endotracheal intubation should be available during its use.