Clin Endosc > Epub ahead of print
Anesthesia for Advanced Endoscopic Procedures
Basavana Goudra1 , Monica Saumoy2
1Department of Anesthesiology and Critical Care Medicine, Hospital of the University of Pennsylvania, Philadelphia, USA
2Division of Gastroenterology, University of Pennsylvania Perelman School of Medicine, Philadelphia, USA
Correspondence :  Basavana Goudra ,Tel: +1-215-279-4321, Fax: +1-215-615-5517, Email: goudrab@uphs.upenn.edu
Received: September 14, 2021  Revised: October 17, 2021   Accepted: October 18, 2021
Abstract
The gastrointestinal endoscopy paradigm is rapidly changing, and technological advancements are largely responsible. In tandem, anesthesia providers are adapting to the changing needs and demands. The challenges are unique. Complications arising from the procedures are both routine, such as aspiration and hypoxia, and procedure specific, such as bleeding, pneumothorax, pneumopericardium, and pneumoperitoneum. It is crucial for the anesthesia provider to have a good understanding of the techniques employed by the endoscopist. A higher index of suspicion is also essential to diagnose and appropriately manage many of the complications. In this review, an effort is made to discuss both procedural aspects and anesthesia challenges. We hope that both endoscopists and anesthesia providers will benefit from this review.
Key Words: Anesthesia; Endobariatrics; Endoscopy; Myotomy
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