• Gastrointest. Endosc. Clin. N. Am. · Jul 2016

    Review

    Sedation Challenges: Obesity and Sleep Apnea.

    • Pichamol Jirapinyo and Christopher C Thompson.
    • Division of Gastroenterology, Hepatology and Endoscopy, Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02115, USA; Harvard Medical School, 25 Shattuck Street, Boston, MA 02115, USA.
    • Gastrointest. Endosc. Clin. N. Am. 2016 Jul 1; 26 (3): 527-37.

    AbstractThis article reviews the data for diagnostic and uncomplicated therapeutic upper endoscopy, which show it is safe and effective to perform the procedure under moderate sedation with a combination of benzodiazepine and opioids. For more complex procedures or for superobese patients anesthesia support is recommended. Performing endoscopy in this population should alert providers to plan carefully and individualize sedation plans because there is no objective way to quantify this risk pre-endoscopically.Copyright © 2016 Elsevier Inc. All rights reserved.

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