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"Sedation and analgesia" in gastrointestinal endoscopy ranges from minimal sedation to general anesthesia, and is used to relieve anxiety and diminish pain, discomfort, and memory of the procedure.While endoscopy can be successfully performed without sedation, many endoscopic procedures are performed under moderate sedation and analgesia, often referred to as "conscious sedation".Prior to the procedure, you will meet the doctor giving the sedation.You will be asked (by the doctor or nursing staff) to provide your medical history, including the reason you are having the test, whether you have heart or lung disease (including asthma, angina or heart failure), liver or kidney disease, gastro-intestinal bleeding or other bleeding problems, or anaemia.Patients usually have three major concerns prior to endoscopy - the outcome of the procedure (could it be cancer?), complications of the procedure, and most importantly the question "Doctor, how much will I feel the procedure? " With modern sedation and careful monitoring the great majority of patients will feel comfortable during the procedure.

Although many tolerate endoscopy with moderate sedation, some patients will require deep sedation.

Hello, Had my first endoscopy a few days ago (I suffer from panic disorder) and was scared stiff of having it done the night before i was due to have it done i was thinking of not going.

As was going to have it with sedation but have read alot of horror stories on the internet about people gagging, being sick, pulling the endospope out, having to be pinned down So you can see way i was scared stiff.

At the level of general anesthesia, patients are unresponsive, and airway support is necessary [1-3].

The degree of sedation should be titrated to achieve patient comfort and a successful procedure.

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