Sedation in the GUH digestive endoscopy unit

Abstract

The growth of the activity of the anesthesiology services in areas outside the operating room (AFQ) has also been a major challenge at the Getafe University Hospital (HUG), not only due to the lack of technical and human support available in the surgical unit but also for being a hostile, uncomfortable environment and far from the comfort and safety zone of the operating room.

In the last 10 years, the work dynamics in these areas has radically changed for multiple reasons, including the high expectations created by patients, the availability of short-acting drugs, the increase in the number of registered adverse events associated with sedation, the lack of anesthesiologists and the high number of rooms with sedation in the medical and central services of our hospital.

In this chapter we will comment and analyze in the most schematic way possible the different aspects related to sedation (anesthesia with monitoring) by the anesthesiologist in our daily clinical practice, in accordance with the guidelines and recommendations established by different European medical societies, and in our case by SEDAR in its white paper on our specialty.