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From the JAMA Network
May 16, 2017

Trends in Use of Sedation for Low-Risk Endoscopy: Looking Beyond Monitored Anesthesia Care

Author Affiliations
  • 1Veterans Affairs Greater Los Angeles Healthcare System, Los Angeles, California
  • 2David Geffen School of Medicine, University of California, Los Angeles
JAMA. 2017;317(19):2006-2007. doi:10.1001/jama.2017.4114

Conscious sedation with short-acting opioids and benzodiazepines administered by an endoscopist has increasingly been replaced by deep sedation with monitored anesthesia care supervised by an anesthesiologist for routine endoscopy in fee-for-service practice.1 Monitored anesthesia care is recommended by the American Society for Gastrointestinal Endoscopy guideline for patients with anticipated intolerance of standard sedatives, certain comorbidities, or potential for airway compromise.2