National Consensus on the Use of Sedation Drugs in the Gastrointestinal Endoscopic Procedures
Abstract: Gastrointestinal
endoscopy is rapidly developing and several gastrointestinal endoscopy
equipment are available for both diagnostic and therapeutic purposes. Proper
sedation is critical in performing endoscopic procedures, both for patients and
physicians. This consensus is used as a guideline and not as a legal standard
in performing endoscopic services. This consensus explained the definition,
indication, contraindication, and complication prevention during sedation.
Factors affecting the need of sedation is patient factors, procedure factors,
and sedation level. Diagnostic or therapeutic upper gastrointestinal tract
endoscopy which not complicated can be performed with minimal sedation or
moderate sedation, while deep sedation can be considered for longer and more
complex procedures. Furthermore, assessment and selection of sedation was
explained, followed by the guide to choose pharmacological sedation and
analgesics. Currently, diazepam, midazolam, propofol, fentanyl, and pethidine
is the most likely used sedation during gastrointestinal endoscopy, with
midazolam as the preferred medication of choice. This consensus also explained
the antidote of each drug and the recovery after procedure. This consensus
aimed to improve gastrointestinal endoscopic procedure services in
Indonesia.
Keywords: diazepam, fentanyl,
gastrointestinal endoscopy, midazolam; national consensus; pethidine; propofol;
sedation
Author: Daldiyono, Abdul Aziz
Rani, Marcellus Simadibrata, Ari Fahrial Syam, Achmad Fauzi, Dadang Makmun,
Murdani Abdullah, Indra Marki, Kaka Renaldi
Journal Code: jpkedokterangg170386
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