Doctor insights on:
What Sedation Is Used For Colonoscopy
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 moreSee 2 more doctor answers
Is sedation always used for an endoscopy for an adult? If so, which drug is used? What are the risks with the sedation?
Conscious sedation: during endoscopy the doctor usually uses a combination of drugs which can vary depending on the doctor's preference. One of the meds the use is versed. The main side effect of conscious sedation is respiratory depression so they monitor your oxygen levels as well as other vital signs throughout the procedure. Ask your doctor for the specific meds he uses as well as side effects. ...Read more
No sedation: Sedation is not used for refractory vomiting as there would be danger of the sedated patient aspirating her vomitus which could be lethal. Rather, antiemetics and/or nasogastric intubation are used. We try not to sedate the patient or induce drowsiness unless a nasogastric tube is draining the stomach contents. ...Read more
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
Titration: And monitoring carefully is the best indication of the proper dosage for propofol, 30mg is a good starting point, depends on other medications, weight, and individual variation. Profofol wears off so quickly it requires an infusion or frequent administration. ...Read moreSee 1 more doctor answer
Versed: It can usually be used safely. There is a drug that can rapidly reverse it's effects. Although the incidence of respiratory depression/arrest is low (0.1-0.5%) when Midazolam is administered alone at normal doses,  the concomitant use with CNS acting drugs, mainly analgesic opiates, may increase the possibility of hypotension, respiratory depression, respiratory arrest. www.wikipedia.com. ...Read moreSee 1 more doctor answer
Is I.V. sedation (Midazolam+Fentanyl) for dental procedure, safe for hypertensive/tachycardic person who is on Coversyl? Is there no side effect?
Interaction Check: We don't have Coversyl here in the U.S, but it's in the drug class called ACE inhibitors, of which we have many. ACE inhibitors should not interact with fentanyl+midazolam that you will be receiving for your procedure. However, make sure your dentist knows you're on a ACE inhibitor.Unrelated to your question,any dentist using sedation should have resuscitative equipment and supplies in the office. ...Read more
Options exist: Depends on which part of the body needs to be amputated. For a toe amp, local anes w/ sedation may be adequate. Spinal or epidural anesthesia may be used for leg operations. If inadequate circulation of blood to the leg is the problem, and blood thinners are being used, then spinal or epidural can't be used because of risk of bleeding. General anesthesia is always possible. ...Read moreSee 1 more doctor answer
Any laxative can!: The goal of the prep is to eliminate stool. Diet plays an important role- avoiding fruits and vegetables for a couple of days helps. Then the laxatives come in. Everyone is different in response to laxatives. Doctors find "preps" they like- if you follow their instructions, you should have a complete exam. ...Read more
It depends: If the patient is seizing, there are medications to administer to stop the seizure. If the pateint is no longer seizing, they may check a few tests and examine them to see why they had the seizure. Sometimes the er may start them on an antiepileptic medication. It depends entirely on the situation. There is no "standard procedure" since every patient is different. ...Read more
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