Year 2014 / Volume 106 / Number 3
Puntos De Vista
Sedation for gastrointestinal endoscopy. Clinical practice guidelines of the Sociedad Española de Endoscopia Digestiva

195-211

Francisco Igea, Juan Antonio Casellas, Ferrán González-Huix, Cristina Gómez-Oliva, Juan Salvador Baudet, Guillermo Cacho, Miguel ángel Simón, Emilio de la Morena, Alfredo Lucendo, Francesc Vida y Leopoldo López-Rosés

Abstract
Sedation for gastrointestinal endoscopic procedures has become indispensable, hence sedation is now a mandatory requirement to be offered to all patients before an endoscopic exam following the discussion of its benefits, risks, draw- backs, and alternative options. Patient sedation pursues a dual purpose –on the one hand the achievement of a good perceived quality by suppressing pain; on the other hand an avoidance of untimely movements that may compromise efficacy and safety. In the past twenty years a huge amount of papers were published showing that properly trained non-anesthetist doctors and nurses may effectively, safely, and efficiently take responsibility for the administration of sedatives and painkillers, as well as patient monitoring dur- ing endoscopy. Also, major scientific societies involved in gastrointestinal endoscopy have published guidelines with recommendations in this respect. The Sociedad Española de Endoscopia Digestiva (SEED) is no exception and published in 2006 their sedation guidelines, which included all major indications, contraindications, drug classes, and other related topics (1). Presently, the SEED Board of Directors has decided to update these guidelines by publishing a new version with revised major aspects and the addition of recent findings.
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Francisco Igea, Juan Antonio Casellas, Ferrán González-Huix, Cristina Gómez-Oliva, Juan Salvador Baudet, Guillermo Cacho, Miguel ángel Simón, Emilio de la Morena, Alfredo Lucendo, Francesc Vida y Leopoldo López-Rosés. Sedation for gastrointestinal endoscopy. Clinical practice guidelines of the Sociedad Española de Endoscopia Digestiva. 195-211


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