National Consensus on the Use of Sedation Drugs in the Gastrointestinal Endoscopic Procedures

Gastrointestinal endoscopy is rapidly developing and several gastrointestinal endoscopy equipment are available for both diagnostic and therapeutic purposes. Proper sedation is critical in performing endoscopic procedures, both for patients and physicians. This consensus is used as a guideline and n...

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Main Authors: Daldiyono, Abdul Aziz Rani, Marcellus Simadibrata, Ari Fahrial Syam, Achmad Fauzi, Dadang Makmun, Murdani Abdullah, Indra Marki, Kaka Renaldi
Format: Article
Language:English
Published: Interna Publishing 2017-08-01
Series:The Indonesian Journal of Gastroenterology, Hepatology and Digestive Endoscopy
Subjects:
Online Access:http://ina-jghe.com/journal/index.php/jghe/article/view/632/501
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author Daldiyono
Abdul Aziz Rani
Marcellus Simadibrata
Ari Fahrial Syam
Achmad Fauzi
Dadang Makmun
Murdani Abdullah,
Indra Marki
Kaka Renaldi
author_facet Daldiyono
Abdul Aziz Rani
Marcellus Simadibrata
Ari Fahrial Syam
Achmad Fauzi
Dadang Makmun
Murdani Abdullah,
Indra Marki
Kaka Renaldi
author_sort Daldiyono
collection DOAJ
description Gastrointestinal endoscopy is rapidly developing and several gastrointestinal endoscopy equipment are available for both diagnostic and therapeutic purposes. Proper sedation is critical in performing endoscopic procedures, both for patients and physicians. This consensus is used as a guideline and not as a legal standard in performing endoscopic services. This consensus explained the definition, indication, contraindication, and complication prevention during sedation. Factors affecting the need of sedation is patient factors, procedure factors, and sedation level. Diagnostic or therapeutic upper gastrointestinal tract endoscopy which not complicated can be performed with minimal sedation or moderate sedation, while deep sedation can be considered for longer and more complex procedures. Furthermore, assessment and selection of sedation was explained, followed by the guide to choose pharmacological sedation and analgesics. Currently, diazepam, midazolam, propofol, fentanyl, and pethidine is the most likely used sedation during gastrointestinal endoscopy, with midazolam as the preferred medication of choice. This consensus also explained the antidote of each drug and the recovery after procedure. This consensus aimed to improve gastrointestinal endoscopic procedure services in Indonesia.
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spelling doaj.art-546ed2cc2e944194a30d616744ca7c372022-12-22T02:41:13ZengInterna PublishingThe Indonesian Journal of Gastroenterology, Hepatology and Digestive Endoscopy1411-48012302-81812017-08-01182104111https://doi.org/10.24871/1822017104-111National Consensus on the Use of Sedation Drugs in the Gastrointestinal Endoscopic ProceduresDaldiyonoAbdul Aziz RaniMarcellus Simadibrata Ari Fahrial SyamAchmad Fauzi Dadang MakmunMurdani Abdullah,Indra MarkiKaka RenaldiGastrointestinal endoscopy is rapidly developing and several gastrointestinal endoscopy equipment are available for both diagnostic and therapeutic purposes. Proper sedation is critical in performing endoscopic procedures, both for patients and physicians. This consensus is used as a guideline and not as a legal standard in performing endoscopic services. This consensus explained the definition, indication, contraindication, and complication prevention during sedation. Factors affecting the need of sedation is patient factors, procedure factors, and sedation level. Diagnostic or therapeutic upper gastrointestinal tract endoscopy which not complicated can be performed with minimal sedation or moderate sedation, while deep sedation can be considered for longer and more complex procedures. Furthermore, assessment and selection of sedation was explained, followed by the guide to choose pharmacological sedation and analgesics. Currently, diazepam, midazolam, propofol, fentanyl, and pethidine is the most likely used sedation during gastrointestinal endoscopy, with midazolam as the preferred medication of choice. This consensus also explained the antidote of each drug and the recovery after procedure. This consensus aimed to improve gastrointestinal endoscopic procedure services in Indonesia.http://ina-jghe.com/journal/index.php/jghe/article/view/632/501diazepamfentanylgastrointestinal endoscopymidazolam; national consensus; pethidine; propofol;sedationmidazolamnational consensuspethidinepropofolsedation
spellingShingle Daldiyono
Abdul Aziz Rani
Marcellus Simadibrata
Ari Fahrial Syam
Achmad Fauzi
Dadang Makmun
Murdani Abdullah,
Indra Marki
Kaka Renaldi
National Consensus on the Use of Sedation Drugs in the Gastrointestinal Endoscopic Procedures
The Indonesian Journal of Gastroenterology, Hepatology and Digestive Endoscopy
diazepam
fentanyl
gastrointestinal endoscopy
midazolam; national consensus; pethidine; propofol;sedation
midazolam
national consensus
pethidine
propofol
sedation
title National Consensus on the Use of Sedation Drugs in the Gastrointestinal Endoscopic Procedures
title_full National Consensus on the Use of Sedation Drugs in the Gastrointestinal Endoscopic Procedures
title_fullStr National Consensus on the Use of Sedation Drugs in the Gastrointestinal Endoscopic Procedures
title_full_unstemmed National Consensus on the Use of Sedation Drugs in the Gastrointestinal Endoscopic Procedures
title_short National Consensus on the Use of Sedation Drugs in the Gastrointestinal Endoscopic Procedures
title_sort national consensus on the use of sedation drugs in the gastrointestinal endoscopic procedures
topic diazepam
fentanyl
gastrointestinal endoscopy
midazolam; national consensus; pethidine; propofol;sedation
midazolam
national consensus
pethidine
propofol
sedation
url http://ina-jghe.com/journal/index.php/jghe/article/view/632/501
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