Patient Monitoring and Associated Devices during Endoscopic Sedation

Sung-Hoon Moon; Hyung-Keun Kim; Dae-Seong Myung; Soon Man Yoon; Won Moon

doi:10.4166/kjg.2017.69.1.64

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Moon, Kim, Myung, Yoon, and Moon: Patient Monitoring and Associated Devices during Endoscopic Sedation

Review Article

Korean J Gastroenterol 2017;69(1):64-67.

Published online: 4 October 2017

DOI: https://doi.org/10.4166/kjg.2017.69.1.64

Patient Monitoring and Associated Devices during Endoscopic Sedation

Sung-Hoon Moon, Hyung-Keun Kim¹, Dae-Seong Myung², Soon Man Yoon³, Won Moon⁴

Department of Internal Medicine, Hallym University Sacred Heart Hospital, Hallym University College of Medicine, Anyang, Korea

¹Department of Internal Medicine, Uijeongbu St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Uijeongbu, Korea

²Department of Internal Medicine, Chonnam National University Medical School, Gwangju, Korea

³Department of Internal Medicine, Chungbuk National University College of Medicine, Cheongju, Korea

⁴Department of Internal Medicine, Kosin University College of Medicine, Busan, Korea

Correspondence to: Won Moon, Department of Internal Medicine, Kosin University College of Medicine, 262 Gamcheon-ro, Seo-gu, Busan 49267, Korea. Tel: +82-51-990-5207, Fax: +82-51-990-3005, E-mail: moonone70@hanmail.net

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Sedation is an essential component for gastrointestinal endoscopy. It allows patients to tolerate unpleasant endoscopic procedures by relieving anxiety, discomfort, or pain. It also reduces patient's risk of physical injury during endoscopic procedures, while providing the endoscopist with an adequate setting for a detailed examination. For the safety during endoscopic sedation, patient monitoring is crucial. Minimal monitoring requirements during endoscopic sedation are periodic assessment of blood pressure and application of continuous pulse oximetry. Continuous electrocardiography is recommended in selected patients with high risk for sedation or have cardiopulmonary diseases. Continuous supplemental oxygen is also recommended for endoscopic sedation. This study describes detailed monitoring and associated devices based on the current guidelines and recommendations from gastrointestinal society of America, Europe, and Korea.

Keywords: Conscious sedation, Endoscopy, Patients, Monitoring, Device

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