Digestive endoscopy : official journal of the Japan Gastroenterological Endoscopy Society
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Review
Recommended sedation and intraprocedural monitoring for gastric endoscopic submucosal dissection.
Endoscopic submucosal dissection is associated with a longer treatment time and a higher risk of patient discomfort than conventional procedures. Adequate, safe sedation is therefore essential. ⋯ A combination of benzodiazepines and analgesics are generally used for sedation, but new sedatives such as propofol and dexmedetomidine hydrochloride are expected to be useful agents. Endoscopists should become more familiar with sedatives, analgesics, and emergency procedures in the future.