*EMBARGOED All research presented at the 2019 ACG Annual Scientific Meeting and Postgraduate Course is strictly embargoed until Monday, October 28, 2019, at 8:00 am CDT.
P0359 Developing and Validating a Prediction Model to Identify Patients at High Risk for Failing Standard Sedation for Routine GI Endoscopy
Author Insight from Megan A. Adams, MD, JD, MSc, University of Michigan School of Medicine
What’s new here and important for clinicians?
Use of anesthesia-assisted sedation (AA) for routine GI endoscopic procedures has recently skyrocketed. One potential contributor to this increased use is clinical uncertainly regarding which patients may be at high-risk of failed sedation with standard sedatives. Here, we developed a prediction model to help providers identify patients who require AA due to high-risk of failing standard sedation. Not only did we find a very low rate of failed sedation, even among the highest-risk patients, we also found no association between failed sedation and BMI, obstructive sleep apnea, functional GI disorders, and other factors that are commonly cited in triaging patients to AA.
What do patients need to know?
Patients need to know that the primary purpose of sedation during routine endoscopic procedures is patient comfort, and it is perfectly reasonable to be awake for a portion or all of the procedure as long as they are comfortable. When standard sedation medications are used, it is very rare for patients to experience discomfort leading to an inability to complete the procedure. Talking to your gastroenterologist before your procedure about what to expect is important, as all forms of sedation (including deep sedation) carry risks.
Megan A. Adams, MD, JD, MSc, University of Michigan School of Medicine
meganada [at] med [dot] umich [dot] edu
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