Conscious sedation with short-acting opioids and benzodiazepines administered by an endoscopist has increasingly been replaced by deep sedation with monitored anesthesia care supervised by an anesthesiologist for routine endoscopy in fee-for-service practice.1 Monitored anesthesia care is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
Leung FW. Trends in Use of Sedation for Low-Risk Endoscopy: Looking Beyond Monitored Anesthesia Care. JAMA. 2017;317(19):2006–2007. doi:10.1001/jama.2017.4114
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