PRE-SEDATION ASSESSMENT COMPLIANCE AT ENDOSCOPY SUITE: A GATEWAY TO THE BETTER OUTCOMES IN INTRA AND POST PROCEDURE CARE

International Conference on General Practice & Hospital Management

December 8-9, 2016 | Dubai, UAE

Sonaila Sarwar and Naveen Najmuddin

The Aga Khan University, Pakistan

Posters & Accepted Abstracts: J Gen Practice

Abstract :

The benefits of endoscopy have increased enormously as it has matured from a purely diagnostic tool to become a therapeutic subspecialty, but so too has the potential for causing harm. There has been a considerable progress in the practice of sedation during endoscopic procedures. However it is emphasized that a high degree of safety has to be ensured in delivery of this by adhering to guidelines. Although some endoscopic procedures such as routine diagnostic upper gastrointestinal endoscopy can be carried out without sedation, many of the other endoscopic procedures are unpleasant and sedation as an adjunct to good pain relief and sympathetic patient management can improve both patient tolerance and acceptance and increase the technical success of the procedure. Health Care Professionals should recognize that any drug which depresses the central nervous system has the potential to impair respiration, circulation or both and hence requires a cautious move. Caution can only be taken if team is well aware of baselines of patient and it could only be done by a proper pre sedation assessment. Sedation carries great risks; a patient undergoing conscious sedation can easily be transformed into deep sedation ultimately affecting airway patency of patients. According to American Society For Gastrointestinal Endoscopy, (2003), 50% of reported complications are of Cardiopulmonary, with majority because of Aspiration, Hypoventilation and Sedation Overdose. Administration of sedation must be planned, and planning is being done in form of assessment. A sedation plan should be developed to meet each patient�s needs identified through a pre-sedation assessment. A pre-sedation assessment is required prior to administration of sedation in order to provide safe procedural care to patients. Therefore effective compliance to pre sedation assessment was considered as a quality project by our team.

Biography :

Email: sonaila.sarwar@aku.edu