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Doctor insights on: Conscious Sedation With Propofol In Colonoscopy

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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

Dr. Charles Cattano
2,044 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 concious sedetion for a colonoscopy not recommended for people w anxiety disorder? Full sedation best? Propofol?

Is concious sedetion for a colonoscopy not recommended for people w anxiety disorder? Full sedation best? Propofol?

Conscious sedation: Is safer and relaxes you so you do not remember the the procedure. You are in a twilight type sleep during the procedure so it is fine with anxiety. ...Read more

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Met with gastro. Suggests a colonoscopy. He only uses propofol as sedation administered by a nurse anesthesiologist. Should I be concerned?

Scope: Absolutley you should be concerned. Firstly why can he not do this without Propofol - using other IV agents? Secondly if he uses the crna who is the supervising anesthesiologist? Thirdly if there is no anesthesiologist and he is the supervising md then is he certified in bls and acls? ...Read more

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Propofol (450 mg/ 30 min procedure)sedation at conception I had a colonoscopy at the time I ovulated and conceived. Should I be concerned?

No: We use Propofol for sedation and induction of anesthesia in pregnant women without consequences. There will be no consequences to your baby. Don't worry. ...Read more

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I suffer from anxiety and panic disorder. Chose twilight instead of propofol for a colonoscopy sedation. Was that the right choice?

I think so,: You will receive versed, a strong anxiolytic that can be given prior and will last after. It will also block any memory of the event. Propofol would put you to sleep but unless you are given something else you would have anxiety otherwise. Propofol also requires special skills to administer also. A nurse can administer the versed. ...Read more

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Can u have a colonoscopy done with something other than general anesthesia? Such as conscious sedation?

Yes: Intravenous sedation can be very effective in assuring comfort and sedation during a colonoscopy. General anesthesia, though used commonly because it can be "eliminated" so quickly from one's body, isn't mandatory. Discuss with your endoscopist or anesthesiologist! No worries! ...Read more

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Do they use conscious sedation for colonoscopy and endoscopy?

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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Do doctors use propofol for a colonoscopy?

Do doctors use propofol for a colonoscopy?

Yes: Propofol can be used, many times this requires an additional physician, an anesthesiologist or anesthetist. Sedation by the endoscopist is also accomplished by using versed and fentanyl. Options vary among endoscopists and hospitals. ...Read more

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Propofol administered by a nurse anesthesiologist for a colonoscopy. Should that be of concern?

Propofol administered by a nurse anesthesiologist for a colonoscopy. Should that be of concern?

Depends: In the us, the term "anesthesiologist" means a fully-trained physician. A crna is a nurse anesthetist, not a doctor. Make sure a physician anesthesiologist is available for backup and supervision of a nurse anesthetist. Propofol is a good med for sedation for colonoscopy, but needs careful monitoring of breathing and blood pressure. The procedure won't take long, and you'll wake up quickly. ...Read more

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Is it safe for me to have a colonoscopy using propofol if I have Brugada syndrome? Will it cause an episode of VT or VF?

Is it safe for me to have a colonoscopy using propofol if I have Brugada syndrome? Will it cause an episode of VT or VF?

Yes with precautions: Although propofol may result in malignant arrhythmias in some Brugada syndrome patients, it has been used uneventfully in numerous other Brugada syndrome patients. When appropriate measures are taken anesthesia with propofol can most often be performed safely in Brugada syndrome patients. For detailed information on anesthesia in Brugada syndrome see: http://bit. Ly/2bhf1Zz ...Read more

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I am scheduled for a colonoscopy. Is a facility able to enforce anesthesia if I do not want to take it. They use propofol and I don't want it.

I am scheduled for a colonoscopy. Is a facility able to enforce anesthesia if I do not want to take it. They use propofol and I don't want it.

Informed consent: Nothing should be done before explaining pros and cons and obtaining your permission. Propofol is not the only choice, although it is probably best drug for it today. One can undergo colonoscopy without any anesthesia, the experience is likely to be quite unpleasant and stressful and conditions for the doctor performing it suboptimal, so I would invite you to address all your concerns beforehand. ...Read more

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Dr. Insists on using propofol for colonoscopy/endoscopy, can I insist on light propofol? Would it be wise to do so?

Wisdom: You would be wise to rely on the education and experience of your doctor. The term "light propofol" can only mean "inadequate dose." It is a remarkably safe drug (when administered by trained personnel), and wears off very quickly. ...Read more

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My doctor said he might use propofol during the colonoscopy. Isn't that the stuff that michael jackson took?

My doctor said he might use propofol during the colonoscopy. Isn't that the stuff that michael jackson took?

Yes: And if he was having a colonoscopy I would use that on him too. But he is no longer alive because he was taking that drug for the wrong reasons and most importantly he was not monitored properly by an anesthesiologist. ...Read more

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Scheduled for colonoscopy. What is the generally used anesthetic for Thai procedure? Propofol? Had a bad reaction upon waking from surgery while on it.

Why ask here?: It may be propofol, it may be midazolam, it may be fentanyl. Different docs use different drugs. Why don't you ask them? Call 'em up. Be sure to check with your insurance carrier. Some will cover certain drugs and others won't. If your doc's choice is not covered, be sure to let them know. They may be able to get authorization from your carrier. Getting one may take a few years (a joke, sort of). ...Read more

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Had colonoscopy wed of this week. When does the effects of the meds given wear off? Versed, Propofol and some nausea med. Colonoscopy was negative!

Usually quickly.: These meds typically wear off in a matter of a few hours (can be significantly longer if you have kidney disease) but you can feel groggy for a day. You should be back to normal the next day. If not see your dr. ...Read more

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My doctor wants to use propofol on me for my endoscopy because he said versed & fentanyl didn't work well w/ my colonoscopy. Is propofol safer?

It is a safe drug: Propofol is a safe drug if administer by an anesthesiologist or a CRNA. During administration of the drug the patient has to be fully monitored. The monitors are the following. Ekg, blood pressure, pulse oxymeter (measures the blood oxygen content) and a capnogram (measure the end tidal co2). The drug is short acting, intravenously administered. ...Read more

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Propofol, versed, fatanyl given. Together for colonoscopy is this general anesthesia or a strong sedative. If so which is safer? I

Propofol, versed, fatanyl given. Together for colonoscopy is this general anesthesia or a strong sedative. If so which is safer? I

They are both safe: These drugs can be used as sedation OR general anesthesia. It is determined by the amounts given and the patient's physiologic response. Both general anesthesia and conscious sedation are safe in the hands of a competent anesthesia provider who takes in account the patient's medical history, medications and physical condition. ...Read more

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Colonoscopy - can I request Propofol/Fentanyl combo to prevent resp depress. Frm titrating Prop. And ask to titrate the Fent. Instead for pain reflex?

Colonoscopy - can I request Propofol/Fentanyl combo to prevent resp depress. Frm titrating Prop. And ask to titrate the Fent. Instead for pain reflex?

You can ask: But it's the anesthesiologists job to administer the drug combination that they think is in your best interests based on the circumstances and your medical history. And guess what? What you are asking causes respiratory depression too. ...Read more

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I had propofol endoscopy/colonoscopy this a.m. with biopsies. My knee and back are hurting from other injuries. Can I take a hydrocodone 5 mg?

I had propofol endoscopy/colonoscopy this a.m. with biopsies. My knee and back are hurting from other injuries. Can I take a hydrocodone 5 mg?

Several points: First, if it is an unprescribed narcotic that you somehow got ahold of... this sets up a really bad pattern.

It's got a complex pharmacokinetics. It's action is as much terminated by it diluting as it is by actually leaving the body. So, when you wake up, there's still a faire amount still there and there is the potential for interaction. But 5 mg isn't much xcept driving/etc. ...Read more

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Is it more advisable to get a colonoscopy at a surgical outpatient center vs a doctor's office? Is propofol safe to use as anesthesia during it?

Both safe: But the more medical issues/problems the better off at an ambulatory center but it really depends on what the comfort level of the office people as well as what kind of problems/complication they are prepared to handle. ...Read more

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Husband given Propofol today for EGD & colonoscopy. Now sneezes CONSTANTLY & nose runs, only when STANDING. 9hrs. Since Propofol & 18hrs. Since prep.

Unlikely propofol: It's unlikely this reaction is due to propofol so long after the procedure. It sounds as though your husband is having a histamine-release reaction for some reason--like hay fever. Try Benadryl (diphenhydramine) or a non-drowsy antihistamine such as loratidine. This should clear up on its own. ...Read more

Consciousness (Definition)

It is the amount of awareness with yourself and the surroundings meaning recognize yourself and ...Read more


Dr. Boris Aronzon
559 Doctors shared insights

Propofol (Definition)

Propofol is an anesthetic sedative which is a ...Read more