Top
20
Doctor insights on: Do You Talk Under Conscious Sedation For Colonoscopies

Share
Dr. Charles Cattano
2,033 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


2

2
Can u have a colonoscopy done with something other than general anesthesia? Such as conscious sedation?

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!

See 2 more doctor answers
3

3
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.

See 2 more doctor answers
6

6
Scheduled a colonoscopy. Chose twilight sedation. Gastro commented on patient that kept talking and had to sedate a lot, hard to wake up. Oversadation?

Anything possible: Some people react adversely or excessively to doses of sedatives that do not affect others. Have no idea what happened in the situation you describe. Ask the doctor.

7

7
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.

See 2 more doctor answers
8

8
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.

10

10
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.

See 1 more doctor answer
11

11
I am having a colonoscopy and endoscopy on tuesday and would like no sedation. Is this possible? What are the risks?

I am having a colonoscopy and endoscopy on tuesday and would like no sedation. Is this possible? What are the risks?

No major risks: You can do both without sedation. There are no risks other than discomfort from cramping during the procedures as the scopes are advanced/manipulated in your digestive tract. The upper endoscopy can be more difficult to tolerate unsedated due to the gag reflex.

12

12
Can sedation for colonoscopy cause risks to someone with taccycardia or svt?

Can sedation for colonoscopy cause risks to someone with taccycardia or svt?

Any procedure has: Risk. However, sedation for colonoscopy is considered to be light and low risk. There are anesthetic agentst that casue tachycardia like ketamine (less frequently used) that needs to be avoided. You need to know that you will be monitored and if your blood pressure or heart rate changes, all the necessary steps will be taken by the anesthesiologist.

14

14
Can sedation medication for a colonoscopy cause a migraine? If so is there any way to prevent it from happening?

Migraines: Typically patient's receiving sedation for colonoscopy receive either Midazolam (versed), fentanyl (sublimaze), or Propofol (diprivan) or a combination of the above. I am not aware of these medications typically precipitating migraines but the trigger's for migraines are multiple and could easily include not eating prior to your procedure or mild dehydration.

See 1 more doctor answer
15

15
Scheduling a colonoscopy. Never been sedated and nervous about it. Gastro likes to only do full sedation. Should I look at other options?

Full sedation: Makes it easier, faster and more pleasant. Make sure the medication is administered by a dedicated anesthesiologist and that you are given oxygen supplementation and have your vital signs monitored. If you prefer light sedation, tell your doctor, but he may be unable to do a complete exam if you are too uncomfortable.

16

16
Gastro encouraging mac sedation for colonoscopy. Should I feel comfortable w him even tho I decided for twilight sedation as suggested by primary md?

Gastro encouraging mac sedation for colonoscopy. Should I feel comfortable w him even tho I decided for twilight sedation as suggested by primary md?

Feel comfortable: The gastro specialist I am sure does the procedure often and is familiar with the type of sedation that would be safe. Feel comfortable and ask the docs why the have different opinions on the sedation. Best wishes.

18

18
Is same sedation used for knee surgery as colonoscopy?

Is same sedation used for knee surgery as colonoscopy?

Sedation: Not on me. Knee surgery is much more involved than the colonoscopy. Give me the good stuff for the knee surgery.

See 1 more doctor answer
19

19
Had colonoscopy and gastroscopy with versed and fentanyl? However, sedation did not work and felt everything. How could this happen?

Conscious sedation: The colonoscopy and gastroscopy are benign, non invasive and fast procedure that requires conscious intravenous sedation. Versed and fentanyl is the combo that anesthesiologist use for this task. If more profound sedation is need it deep sedation agents are used.

20

20
Need to make a decision: gastro suggest mac for colonoscopy, internist suggests consious sedation. Not sure what to do. Any thoughts?

Personal preference: Propofol, the michael jackson drug is frequently used by anesthesiologists working with gis. Allows for deeper sedation than conscious sedation. But it can also cost more and check with your insurer that they will cover it. When I had my colonoscopy I had propofol. As have a large number of other docs.

See 1 more doctor answer

Consciousness (Definition)

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