Conscious sedation

New advances in intravenous sedation have made endoscopic tests such as colonoscopy much more tolerable for patients.  At the Pezim Clinic, your doctor will give you sedation and analgesia medication through an intravenous catheter during your colonoscopy.  The purpose of the medication is to make you comfortable during your procedure.  You are given enough medication to make you comfortable, but not enough to render you unconscious.  It is far too risky to make patients unconscious and it should not be part of any colonoscopy.

Well-meaning friends or relatives may tell you that they were ‘knocked out’ and woke up at the end of the procedure when they had a colonoscopy.  This would certainly not be appropriate management.  Instead, it is likely that they were awake but the effects of the medication made it impossible for them to remember what actually happened, so they figure they were ‘knocked out’.  One of the medications, Midazolam, has an ‘amnesic effect’.  In other words, it prevents you from making a memory of the event.  This interesting property of Midazolam effects different patients differently.  Some will remember everything, while others will deny they ever had a procedure.

Safety during your sedation is of utmost importance to us.  At all times during the period in which you are sedated and until you are discharged from the Clinic, you will be directly observed, or within a few feet of a fully trained physician who has performed thousands of endoscopic procedures and is also trained in advanced cardiac life support (ACLS).  All patients receiving conscious sedation at the Pezim Clinic are provided with supplemental oxygen and have their pulse, blood pressure, cardiac electrical activity and oxygen concentration continuously monitored.
Our goal is to make your procedure as safe and as painless as possible.

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