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Procedural sedation

Key sources
The following summarized guidelines for the management of procedural sedation are prepared by our editorial team based on guidelines from the British Society of Gastroenterology (BSG 2023), the American Society for Gastrointestinal Endoscopy (ASGE 2018), and the American College of Emergency Physicians (ACEP 2014).
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Guidelines

1.Medical management

Emergency department, preprocedural fasting: do not delay procedural sedation in adult or pediatric patients in the emergency department based on fasting time, as preprocedural fasting for any duration has not demonstrated a reduction in the risk of emesis or aspiration when administering procedural sedation and analgesia.
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More topics in this section

  • Emergency department, choice of agent

  • Emergency department, periprocedural monitoring

  • Emergency department, personnel requirements

  • Gastrointestinal endoscopy, pre-assessment

  • Gastrointestinal endoscopy, patient education

  • Gastrointestinal endoscopy, type of sedation (general principles)

  • Gastrointestinal endoscopy, type of sedation (complex procedures)

  • Gastrointestinal endoscopy, type of sedation (high-risk groups)

  • Gastrointestinal endoscopy, type of sedation (transition groups)

  • Gastrointestinal endoscopy, type of sedation (pregnancy and breastfeeding)

  • Gastrointestinal endoscopy, periprocedural monitoring

  • Gastrointestinal endoscopy, recovery and discharge

  • Gastrointestinal endoscopy, complications

  • Gastrointestinal endoscopy, personnel requirements