• Emmanuel Pardo, Marine Camus, and Franck Verdonk.
• Department of Anesthesiology and Intensive Care, Hôpital Saint-Antoine and Sorbonne University, GRC 29, DMU DREAM, Assistance Publique-Hôpitaux de Paris.
• Curr Opin Anaesthesiol. 2022 Aug 1; 35 (4): 528535528-535.

Purpose Of ReviewNonoperating room anesthesia for digestive tract endoscopy has its own specificities and requires practical training. Monitoring devices, anesthetic drugs, understanding of procedures and management of complications are critical aspects.Recent FindingsNew data are available regarding risk factors for intra- and postoperative complications (based on anesthesia registries), airway management, new anesthetic drugs, techniques of administration and management of advances in interventional endoscopy procedures.SummaryDigestive tract endoscopy is a common procedure that takes place outside the operating room most of the time and has become more and more complex due to advanced invasive procedures. Prior evaluation of the patient's comorbidities and a good understanding of the objectives and constraints of the endoscopic procedures are required. Assessing the risk of gastric content aspiration is critical for determining appropriate anesthetic protocols. The availability of adequate monitoring (capnographs adapted to spontaneous ventilation, bispectral index), devices for administration of anesthetic/sedative agents (target-controlled infusion) and oxygenation (high flow nasal oxygenation) guarantees the quality of sedation and patient' safety during endoscopic procedures. Knowledge of the specificities of each interventional endoscopic procedure (endoscopic retrograde cholangiopancreatography, submucosal dissection) allows preventing complications during anesthesia.Copyright © 2022 Wolters Kluwer Health, Inc. All rights reserved.

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