Top
30
Doctor insights on: Sedation Vs Anesthesia For Colonoscopy

Share
1

1
On average how long does a colonoscopy and endoscopy done at the same time take? Will the sedation cause funny behavior after like anesthesia does?

On average how long does a colonoscopy and endoscopy done at the same time take? Will the sedation cause funny behavior after like anesthesia does?

Short sedation: EGD (upper endoscopy) can be as short as 5 minutes, with biposies most of them accopmlished in ~15 min. Colonoscopy takes longer, most fit in the timeframe of 20-40 minutes. The sedation used for the procedure is quite deep usually and approaches/equals Total Intravenous Anesthesia, TIVA. Due to nature of the drug (s) used the recovery may vary but usually is pretty fast and free of side effects. ...Read more

Dr. Karen Sibert
2,203 Doctors shared insights

Anesthesia (Definition)

Anesthesia is a field of study that involves methods of removing sensation, pain, and consciousness from a person in order to perform surgeries, do other uncomfortable procedures, or relieve his pain/suffering. A doctor specializing in ...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! ...Read more

3

3
My doctor wants to use general anesthesia for an endoscopy. Why would I need to be completely out? He just did sedation for my colonoscopy.

My doctor wants to use general anesthesia for an endoscopy. Why would I need to be completely out? He just did sedation for my colonoscopy.

This is a good: Question for you to ask him. Typically, upper/lower endoscopy is performed with conscious sedation, presumably what you had previously. Perhaps he observed you to have responses to stimuli indicating you might be experiencing pain during the colonoscopy procedure. Maybe he is concerned about your breathing or cardiac function. Typical issues suggesting general anesthesia. Only he can answer. ...Read more

4

4
I'm going under gen anesthesia 4 a tonsillectomy. Never had ga. How does ga compare 2 the IV sedation I had 4 my wisdom teeth & colonoscopy/endoscopy?

I'm going under gen anesthesia 4 a tonsillectomy. Never had ga. How does ga compare 2 the IV sedation I had 4 my wisdom teeth & colonoscopy/endoscopy?

General Anes process: Once the IV is in, you will probably be given a small of sedative to help you feel relaxed. In the or, the ekg and other monitors will be applied. You will probably receive oxygen to breathe as other IV medications are given to achieve full anesthesia. You are never left alone while under anesthesia. We stay with you to monitor and adjust the anesthesia to keep you anesthetized and safe. ...Read more

5

5
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.

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

8

8
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

9

9
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

10

10
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

11

11
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

12

12
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

13

13
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

14

14
Does it take a while to get over the effects of twilight anesthesia for a colonoscopy?

Depends on type: If the anesthetic is given by an anesthesiologist they would usually use a very short acting anesthetic agent. If the sedation is done by the GI doctor they tend to use a longer lasting agent. In either case you should be clear headed after a few hours. ...Read more

15

15
Should I be worried about general anesthesia or not waking up for after a colonoscopy and endoscopy?

Should I be worried about general anesthesia or not waking up for after a colonoscopy and endoscopy?

Discuss with doc: Many fears can be addressed if you talk to your healthcare professional. Egd ; colonoscopies are typically done only with sedation, and there is no general anesthesia. If you are really concerned, or if your md thinks you need general anesthesia, you will have an anesthesiologist there. ...Read more

16

16
I take subutex regularly - what are my options for anesthesia during my planned upcoming colonoscopy?

Propofol: More and more frequently the colonoscopy procedures are being done using anesthesia providers and Propofol for sedation. This drug will not be interfered with by the subutex that you are currently taking. ...Read more

17

17
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. ...Read more

18

18
What do I have to do to make sure that my colonoscopy is done without sedation? I have had a terrible experience/allergy.

Colonoscopy: The sedation u take for colonoscopy, make u feel nothing. And it is better to take it, if u don't discuss it with u physician. ...Read more

20

20
Had colonoscopy today w/heavy sedation. Feel like I'm breathing a little heavy or cant get a good full breathe. Normal after sedation?

Had colonoscopy today w/heavy sedation. Feel like I'm breathing a little heavy or cant get a good full breathe. Normal after sedation?

Heavy breathing: Interesting that you had a colonoscopy at such a young age. Were you having breathing problems before?
I would go to the emergency department and be evaluated. Your problems could be related to the procedure but also related to why you had the procedure. Do not wait and ignore it. ...Read more

21

21
I take one 8mg Suboxone strip daily. Will this interfere with my colonoscopy scheduled in four days. Will the anesthesia be effective?

I take one 8mg Suboxone strip daily. Will this interfere with my colonoscopy scheduled in four days. Will the anesthesia be effective?

Should be fine.: What I wouldn't do is stop the Suboxone abruptly, as that could cause more troubles. Just let the anesthesiologist know that you're on that medication so that anesthetics may be adjusted accordingly. ...Read more

23

23
Had colonoscopy sedation did nothing, I screamed in pain dr said to shut up I'm scaring patients. Continue with dr after get results or should I run?

Had colonoscopy sedation did nothing, I screamed in pain dr said to shut up I'm scaring patients. Continue with dr after get results or should I run?

RUN: There should be no pain and in fact, you should not even remember the procedure with adequate sedation and anesthesia. In defense of your gi- the medicine to put you to sleep may have been adminsitered by another physician, an anesthesiologist: so before you run......Check on who gave you the medicine. ...Read more

24

24
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. ...Read more

26

26
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. ...Read more

27

27
I'm having a Gastroscopy and Colonoscopy next week and being put to sleep. How safe are the procedures? I've never had anesthesia

I'm having a Gastroscopy and Colonoscopy next week and being put to sleep. How safe are the procedures? I've never had anesthesia

Very safe: In the hands of a competent anesthesia provider. These procedures are performed thousands of times every single day. Be well and good luck. ...Read more

28

28
Yesterday I had colonoscopy with anesthesia (passed out for the whole procedure) and today my lungs hurt. Why, what's the connection?

R/O COMPLICATION: Often times Propofol is used for anesthesia it is very potent. Rarely when you are recovery from anesthesia, fluid may get into the lungs. This is referred as aspiration. I recommend following up with your GI doctor. If symptoms worsen acutely or fever develops, get immediate evaluation and X-ray to rule out aspiration Pneumonia. ...Read more

29

29
I'm Having a steroid shot and they give me anesthesia and then in 2 weeks having a colonoscopy where I'll have anesthesia. Is that safe?

I'm Having a steroid shot and they give me anesthesia and then in 2 weeks having a colonoscopy where I'll have anesthesia. Is that safe?

Yes: It may not even be the same type of anesthesia. Often local numbing with an injection is all that is needed when local steroids are administered. With a colonoscopy, usually drugs are administered through a IV line resulting in what is called conscious sedation. A 2 week gap is reassuring. Even when surgeries have to be performed "back to back" in emergency situations, all can be done safely:) ...Read more

30

30
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. ...Read more

Dr. Charles Cattano
2,047 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