TABLE 34 Guideline for Anesthesiology Assistance during Gastrointestinal Endoscopy

Anesthesiologist assistance may be considered in the following situations:

1. Prolonged or therapeutic endoscopic procedure requiring deep sedation

2. Anticipated intolerance to standard sedatives

3. Increased risk for complication due to severe comorbidity (ASA class III or greater)

4. Increased risk for airway obstruction due to anatomic variant ASA = American Society of Anesthesiologists.

individual. For both moderate and deep sedation, the patient's level of consciousness, ventilatory and oxygenation status, and hemodynamic variables should be assessed and recorded according to institutional guidelines, but should also depend on the type and amount of medication administered, the length of the procedure, and the general condition of the patient. There is controversy in the frequency and type of monitoring needed.

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