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Doctor insights on: Colonoscopy Sedation Drug

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Dr. Charles Cattano
1,988 doctors shared insights

Colonoscopy (Definition)

Colonoscopy is the procedure of using a long flexible camera to visualize the entire colon from the inside with the option to take pictures, video, perform biopsies, remove polyps, etc. Generally people are sedated and do ...Read more


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Is it possible, through proper sedation, to be awake, aware, relaxed, and pain-free for a colonoscopy?

Is it possible, through proper sedation, to be awake, aware, relaxed, and pain-free for a colonoscopy?

Maybe, Usually No: For this, partial to full anesthesia routine, often with agents which block memory, e.g. Versed. Why? People don’t complain-of/remember pain + makes exam much easier & faster for md. I had exam with Demerol (meperidine hydrochloride) 50 mg IV alone; fine through the 1st 2/3 & still remember the images on screen; then intense intestinal cramping began, could not stop it consciously, given 50 mg ? & passed out. Awoke later ok. ...Read more

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What can I do to make a colonoscopy without sedation successful? Everyone is saying the pain is horrible :(

Colonoscopy: Why do you want to avoid sedation. It makes the procedure much easier both for you and the doctor performing it. The discomfort is highly variable from person to person, but if bipsies are necessary you really should be sedated. Discuss with the doctor who will be doing this. Some will refuse non-sedated patients. ...Read more

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I'm fine w/having a colonoscopy, but highly motivated to avoid any sedation. I am female. Is this a realistic goal?

Talk to your doc: Cscope can be uncomfortable-lots of loops, twists and turns in 5'-6' of bowel. Most pts and mds prefer a relaxed, comfortable patient: relaxes the bowel, makes for an easier procedure. Need not be "knocked out", just comfortable. Rare patient asks for cold sober procedure; most don't repeat it that way. Would have IV access anyway, in case you want or need meds or fluids. ...Read more

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Would two previous c-sections (last one 3 years back) make a colonoscopy more painful? I need to have it without sedation so i'd like to prepare.

Maybe: Hard to know. There is an increased risk of scar tissue so that could make the procedure more uncomfortable. However, a pediatric colonoscope may help. Share your concerns with your gastroenterologist and they can probably help you get through it. Good luck. ...Read more

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Should i consult an anesthesiologist for colonoscopy or no sedation?

Get sedated: I usually recommend sedation for my colonoscopy patients. It makes it better/easier for both parties. Having said that, if you are strongly against sedation, here are a few general rules: it is more difficult to perform colonoscopies on thin females. The ideal candidate for unsedated colonoscopy is a short, slightly overweight male. ...Read more

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Do they use conscious sedation for colonoscopy and endoscopy?

Yes : And that may be sufficient. In my opinion, deep sedation and monitoring provided by an anesthesiologist is more comfortable, effective, efficient and safer paradigm. ...Read more

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What type of sedation is safer for a colonoscopy? Concerned about propofol.

What type of sedation is safer for a colonoscopy? Concerned about propofol.

Proofol: Is probably the best, it wears completely off in very short time. Benzodiazepines and narcotics, even short-acting, have a residual effect making you drowsy and possibly sick for the rest of the day. Propofol is an antiemetic. But Propofol requires constant monitoring and special skills to administer to be as safe. ...Read more

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