Endoscopy without sedation Reddit

I had an endoscopy without sedation today, here - reddi

I had an endoscopy without sedation today, here is my experience. In recent months I've noticed I've had bad belching and stomach issues. The worst offender was probably milk (lactose free milk does help though), however the gas issues are not only caused by milk, but a variety of foods. It was getting quite severe, as I would get headaches. Thought I'd write down my experience with my endoscopy without sedation (only throat spray). Before doing my procedure, I kinda made sure to read lots of peoples experiences without sedation for peace of mind. So basically I was wheeled into the room I was going to have the procedure in and then put an oxygen thingy in my nose People seem to think I'm some kind of medical anomaly, even my doctor said 'heartburn at your age!' she is kind of old school to be fair but still, it's making me incredibly nervous almost that people keep saying to me how weird it is to have these issues when you're like under 40, I'm 28 turning 29 in a few months I just had an endoscopy without sedation. I had been anxiously anticipating my first endoscopy that happened today. This was my first ever invasive surgical procedure besides a biopsy I had last month. A few weeks ago the main thing that really helped relieve any anxiety was the idea of being sedated and forgetting about it. But after.

My experience with endoscopy (no sedation) : GER

  1. e on Wednesday and just want to be in and out, no faffing around with anaesthesia. Can I hear some success stories? Because all I keep hearing is how I should just be sedated..
  2. Just got an Endoscopy without sedation AMA. Close. 6. Posted by. Hiatal Hernia. 8 hours ago. Just got an Endoscopy without sedation AMA. Had it this morning 930 AM, so glad i got it done! 29 comments. share. save. hide. report. 88% Upvoted. Log in or sign up to leave a comment.
  3. utes). Only you can decide whether it is worth the trouble. If I hadn't been fasting for several days (I was completely empty) I would have spewed vomit on the doctor and nurses. I gagged almost.
  4. Louise I had an endoscopy 3 days ago and I promise you it's nothing painful , I took it without sedation, I took the throat spray as this was my third one, please believe me, it's just a bit uncomfortable and obviously a medical procedure. I promise after it you will post back to us, it was more anxiety than anything else. Good luck, but I.
  5. They put you under mild sedation so you are kind of in and out of it the whole time. The sedation really puts you into a state of relaxation. The first thing they will do is spray some cherry flavored numbing spray into the back of your throat to prevent the gag reflex. It doesn't taste that great, and the flavor is a bit strong so you may cough
  6. More than 4 years of working as endoscopy nurse this is the only time that i did endoscopy and this time i am the patient. Upper Gastrointestinal Endoscopy..

1. Ratings: +0. #9 Andrew, Mar 17, 2017. OP, you can relax. I think a lot of people here are getting worked up unnecessarily. An endoscopy is nothing like a colonoscopy and a general anaesthesia isn't even needed in case of the former. The throat spray works like an anaesthetic and does its job pretty well The first was without sedation which although not painful I found it quite frightening. The second one just six weeks later I was given a sedation. It's a very light sedation which relaxes you and I'm sure makes their job much easier. You will be left to recover in a sideward for 30-60 minutes. You can't drive after sedation and will need.

The sedation obviously increases the recovery time. The worst part of not being sedated is the obvious sensation of being violated and the slight sense of panic once the scope goes in. The whole. I had an endoscopy a few years back and i used for no sedation, zero! Out of the total patients, 73% were ready to go through future colonoscopy without sedation, 10% were unsure about their treatment, and 18% wanted to take sedation before colonoscopy. Sedation for endoscopy with propofol leads to better quality sedation without compromising. Read on the 4 reasons why gi endoscopy is no threat to your system: 1. You Will Be Sedated. Just in case you were thinking that doctors were going to put the endoscope up your rectum and long intestine without any sedation, you are dead wrong. To ease the process, doctors use local anesthetics, so that the procedure doesn't cause any. Research has shown that pre-medication with sedation showed reduced anxiety and blood pressure (a marker of stress and anxiety) during the endoscopy and reduced recovery time afterwards. However, as with any medications, there is a risk of reacting to the sedation and so, slightly increases the risk of medication-associated complications

First time was without sedative maybe 20 years ago. Gagged alot but did get through it. It was only a few minutes but for me it did seem longer. I could do it again if I had to but prefer not to ! the next time I did one I had sedation. It is very light and you are pretty alert right after. Someone does need to drive you home Jamie Koufman, M.D., Director, Voice Institute of New York. On August 28th, 2014, something happened during Joan Rivers' endoscopy that took her life, and there is now clear evidence that many things went wrong that took Joan Rivers' life. For sure, she met her demise in the endoscopy suite at Yorkville Endoscopy Intravenous Sedation: IV sedation or monitored anesthesia is routinely used for upper endoscopies and colonoscopies. Instead of putting the patient into a deep state of unconsciousness, IV sedation allows patients to experience an anxiety-free and pain-free upper endoscopy, without having to rely on machines for breathing support endoscopy sedation reddit Author: Published Date: February 25, 2021 Leave a Comment on endoscopy sedation reddit. Various sedation and analgesia regimens such as midazolam, fentanyl, and propofol can be used during GI endoscopy. Reddit; Wechat; Summary. PDF | On Dec 1, 2006, Rakesh Bhandari and others published Propofol for Endoscopy in Canada: A Sleepy or a Slippery Slope? Table 1. Some patients have their endoscopic procedures done without sedation

Endoscopy without sedation

I just had an endoscopy without sedation : offmyches

Deep sedation is sometimes used during an endoscopy. Deep sedation may be chosen as a method of endoscopy anesthesia, especially for those with high levels of anxiety or other preexisting medical conditions. This type of sedation gives many of the same benefits of general anesthesia without the added stress to the heart Introduction. Upper gastrointestinal (UGI) endoscopy is established as the gold standard for gastric cancer screening, and diagnosis of UGI diseases. 1 UGI endoscopy can reduce gastric cancer mortality. 2 However, intraoral endoscope insertion through the pharynx into the GI tract can cause severe discomfort and pain to the patients due to a strong gag reflex, especially procedures without. Upper gastrointestinal endoscopy can be performed with or without sedation. Although it is often considered to be unpleasant, a number of endoscopic centres perform the procedure without sedation [4, 5]. However, it is uncertain whether endoscopy performed without sedation reduces the incidence of complications 12,984. Mar 23, 2013. #1. I've just had a couple of days in hospital for tests, one of which was an endoscopy. Thank goodness, they only gave me about 20 minutes notice, so I hardly had time to get worked up about it. Given the choice of sedation, I decided to get it over with and go without Colonoscopy without sedation. 26 May 2018 10:26. Hi everyone, I'm writing this to reassure anyone that may be going for a colonoscopy and is wondering what the the prep is like, how does it feel and what to expect. I went to the GP with changed bowel habits and some blood in my stool, she referred me down the two week cancer route, so I was.

endoscopy sedation reddit / February 25, 2021 / Uncategorized / 0 comments. The sedation is very mild and honestly, you will be fine - I had the semi-sedation for the third one I had (don't ask) and it was definitely better. You previously purchased this article through ReadCube. Reddit; Wechat; Abstract I know someone who went with the sedation and had an awful experience. They said it was bad because they weren't with it but could just about sense and make out what was going on and it felt really uncomfortable. I don't think there's a right or wrong, or better or worse option. Just do what you think would be better for you mate So glad it went well. Obviously, the sedation made the difference in his case. For the benefit of anyone reading this and about to go through the procedure, I had an endoscopy without sedation and, even though I was very worried in anticipation, it was actually quite bearable Dr. Cohen has been outspoken in his opinion that nurses may administer propofol sedation safely for endoscopy, and that anesthesiologists aren't usually necessary. More fool he. Using a drug without being competent to manage it's usual effects is stupidity Trouble swallowing or increased throat pain. Chest pain. Bloody or black stool. Fever. Vomiting, especially if it contains blood. It's important to remember that the risk involved with endoscopy is very low. Make sure to follow all of your doctor's instructions when preparing for the procedure as well as after. 7

After The Endoscopy. Due to the sedation you will probably receive, you won't recall the details of the actual procedure — you won't remember your medical team looking for abnormalities on the screen as they receive visual feedback from the endoscope, or tissue samples being taken, or the air that may be introduced to your esophagus to. Fight over colonoscopy sedation raises big medical questions. Dr. Rose Berkun, a clinical assistant professor of anesthesiology with the University at Buffalo Jacobs School of Medicine and. I have for some time a problem in my throat, and it worse after I eat, creates a lot of mucus I have to hack up for hours. I also have an ulcer and hiatal hernia. So finally they are going to do an endoscopy to deal with all these problems. Already I have declined having a colonoscopy done.. Anyone else had one? I had one today and went for the throat spray rather than the full sedation. And all I can say was it was the worst 10 minutes of my entire life. Really painful, felt like I was choking and would have done anything including give up golf for a year to have it stop..

First, since recovery is faster after propofol (by approximately 21 minutes), it may increase endoscopy unit efficiency, they point out. (Though) for the patient, earlier discharge offers only a limited advantage since discharge instructions are the same for propofol and standard moderate sedation. a recent meta-analysis demonstrated that pain scores were no different than with moderate. Gastrointestinal Endoscopy: guidelines for the use of deep sedation and anesthesia for GI endoscopy. Gastrointest Endosc 2002; 56: 613-7. 4. Gross JB, Bailey PL, Epstein BS, et al. Practice guidelines for sedation and analgesia by non-anesthesiologist. American Society of Anesthesiologists 2001. 5 Introduction. Propofol is used worldwide for sedation in patients undergoing gastrointestinal endoscopy. 1 Severe respiratory and cardiovascular side effects are rare; therefore, propofol is the drug of first choice for sedation supervised by non‐anesthesiologists or trained nurses. 2-4 Since propofol stimulates the dopamine expression in the central reward system, however, it bears a. Sedation in endoscopy uses a variety of different types of drugs with different characteristics (Table 2).Opiates are primarily metabolized via CYP450 (CYP2D6 and CYP3A4) and glucuronidation in hepatocytes and are therefore affected by both liver injury and disease. 10, 11 Fentanyl is most commonly used because it has a faster onset of action, is rapidly cleared, and causes nausea less often. Sedation, which research suggests wears off faster in women, should be tailored to the needs of the patient. Some patients do brave colonoscopies without it . But that number is shrinking in the U.S., where over half are now performed with anesthesia care , meaning propofol administered and monitored by an anesthesiologist

Endoscopy with no Sedation : GERD - reddit

  1. In Study A, the incidence of arterial oxygen desaturation was studied using pulse oximetry (Sao2) in 100 sedated and 100 nonsedated patients breathing room air who underwent diagnostic upper gastro..
  2. imal sedation used, but
  3. Question: I have to get an endoscopy done and am worried about gagging. Is there a way to avoid this? Answer: The gag reflex, known medically as the pharyngeal reflex, is a contraction of the back of the throat that occurs when certain areas of the inside of the mouth are touched, including the roof of the mouth, back of the tongue or throat.
  4. The $1075, $1175 or $1275 flat rate is an all-inclusive rate. It includes all costs related to the procedure and there are no hidden charges. The price includes: 1) Physician fees. 2) Facility or Hospital fees. 3) Sedation or Anesthesia costs. 4) Removal of polyps and taking of biopsies. 5) Pathology Cost (Lab fees
  5. Most heartburn patients can skip upper endoscopy, guidelines say. Many heartburn patients are getting unnecessary upper endoscopy medical tests, according to the American College of Physicians. In.

Just got an Endoscopy without sedation AMA : GER

Many colonoscopies performed for adults over age 70 may beunlikely to benefit them, according to a new study. Such procedures expose people to the risks of a colonoscopy without evidence that they. TNE might also be appropriate for patients with symptoms strongly suggestive of esophageal pathology in whom standard endoscopy is problematic or unappealing or in whom a complete upper endoscopy is not warranted. It will be interesting to see if the coming years see TNE without sedation enter mainstream practice and widespread use A number of factors including reimbursement have produced a demand for endoscopy to be performed in an office based setting as compared to a hospital or ambulatory center setting. Many gastrointestinal endoscopy procedures can be performed safely in the office setting. To ensure that patients having endoscopy in an office setting have the appropriate level of safety and quality, standards of.

Aim: To characterize the safety of endoscopic procedures and propofol use as administered by nurses in a cohort of elderly patients. Methods: During 19 months all endoscopy patients > 70 years were eligible for this prospective observational study. Patients were assigned to group A (70-85 years) or group B (> 85 years). Records from all patients < 70 years treated during the same period. The use of anesthesiologist-administered propofol for healthy individuals undergoing elective endoscopy without risk factors for sedation-related complications is very costly, with no demonstrated improvement in patient safety or procedural outcome. 5 . Further comparative trials of NAPS and BPS are warranted The outgoing attending was happy to see me: Hi Josh, you got here just in time to intubate the patient in Bed 8. He was supposed to get an upper endoscopy with ketamine sedation, but he couldn't be sedated. The patient in Bed 8 was a 40-year-old man with a history of alcoholism, currently presenting with an upper GI bleed User Reviews for Propofol to treat Anesthesia. Also known as: Diprivan, Propoven. Propofol has an average rating of 7.7 out of 10 from a total of 358 ratings for the treatment of Anesthesia. 72% of users who reviewed this medication reported a positive effect, while 19% reported a negative effect Sedation and analgesics usually are provided through an IV placed in a vein. Depending on the procedure, the level of sedation may range from minimal (you'll feel drowsy but able to talk) to deep (you probably won't remember the procedure). Moderate or deep sedation may slow your breathing, and in some cases, you may be given oxygen

Fact: A colonoscopy procedure takes only 30 minutes. Colonoscopies do not take all day, but it's certainly understandable why people circulate this myth. The procedure itself takes only 15-30 minutes, but the colonoscopy prep and pre-op/post-op time commitment makes the procedure seem much longer Going without sedation is with a doubt the best way to have a colonoscopy. I had one this week. I did some research and read blogs from those who've done it and decided to try it. Well, it was a lot easier than I had imagined, an absolute breeze, hardly any discomfort at all. On a 1 to 10 pain scale I'd give it a 3

endoscopy and colonoscopy without sedation -- one man's

Capsule Endoscopy PillCam ® SB. With PillCam ® SB, physicians can visualize the entire small bowel without putting their patients through a lengthy, uncomfortable procedure or having them undergo sedation. By simply swallowing a vitamin-sized capsule, physicians may detect and monitor lesions, ulcers, tumors, and bleeding within the small. The endoscope is a small, specialized tool that can visualize the inside of your stomach and intestine without the need for surgery. Why is an upper endoscopy performed? The upper endoscopy procedure is needed when the stomach, esophagus, or upper small intestine (known as the duodenum) requires a thorough examination These findings were published in Gastrointestinal Endoscopy. The investigators searched publication databases through October 13, 2020, for studies of endoscopy, colonoscopy, or endoscopic retrograde cholangiopancreatography (ERCP) that included the administration of propofol with or without lidocaine Capsule endoscopy is a diagnostic procedure in which you swallow a capsule-encased micro-camera so that images of your esophagus, stomach, and small intestine can be taken as the device pass through your gastrointestinal (GI) tract. Endoscopy is performed in a doctor's office under conscious or deep sedation This is the only form of sedation under which patients can drive after the procedure and can eat food within a 12-hour period of the procedure. With IV, oral and general anesthesia, the patient.

sedation for endoscopy what is it like Abdominal

Background Endoscopy under propofol sedation has become a routine procedure. Given the number of Canadians undergoing an endoscopy annually, as well as the pervasive use of cannabis by many patients, understanding the effect of cannabis use on the propofol dose at endoscopy is highly relevant. We aimed to evaluate the association between cannabis exposure and the propofol dose needed to. Background Sedation during gastrointestinal endoscopy is often achieved using propofol or midazolam in general population. However, impaired protein synthesis, altered drug metabolism, and compromised hepatic blood flow in patients with liver cirrhosis might affect the pharmacokinetics of sedatives, placing cirrhotic patients undergoing endoscopy at a greater risk of adverse events Your doctor might perform esophageal dilation with sedation along with an upper endoscopy. Your doctor may spray your throat with a local anesthetic spray, and then give you sedatives to help you relax. Your doctor then will pass the endoscope through your mouth and into the esophagus, stomach and duodenum. The endoscope does not interfere with.

Well, I'm getting a camera down my throat today (endoscopy

Easy peasy! I'm such a big baby about medical procedures and I wouldn't even sweat another endoscopy. You just go in, get IV sedation, and as you're starting to drift off to sleep they spray a nasty numbing stuff in your throat. The next thing you know you're waking up. There's no pain whatsoever, no discomfort Before the endoscopy, the whole procedureis explained to you and you may also need to sign up a consent form. It is advised not to eat or drink before the procedure.Usually a topical anaesthetic agent is given to you for gargles to make your throat numb in case of upper G.I endoscopy. You may also be given mild sedation before the procedure

Endoscopy experience without sedation - YouTub

A 646,080-patient meta-analysis of gastroenterologist-administered propofol sedation for upper endoscopy and colonoscopy has been reported, with about two-thirds of the data previously unpublished 46. It did not report the frequency of overall aspiration, but stated that none of the four reported deaths were attributable to aspiration General anesthesia without a safety net? Part of the problem is confusion about the term sedation. Before propofol, when procedures were done under local anesthesia with sedation, surgeons used local anesthesia to numb the target area, and patients received medications like Valium or Demerol, which helped them relax and eased any discomfort

Upper Endoscopy with or without sedation or general

  1. Help ! Dad needs endoscopy he wont have it very ill so stressful. The blood test can be requested electronically, all the person has to do is turn up at the hospital appointment. The request will sit on the system until the hospital can schedule it in. Before covid I had regular 6 monthly tests doing it that way, since covid I request the blood.
  2. es (6) phenothiazine antiemetics (5) miscellaneous.
  3. Koshy G, Nair S, Norkus EP, et al. Propofol versus midazolam and meperidine for conscious sedation in GI endoscopy. Am J Gastroenterol 2000;95: 1476-9. 12 . Lichtenstein DR, Jagannath S, Baron TH, et al. Sedation and anesthesia in GI endoscopy. Gastrointest Endosc 2008;68:205-16. 1
  4. contains a camera to record images of the digestive system. When swallowed, it passes through the digestive tract and is primarily used to view the inside of the small intestine. This non-surgical procedure without sedation involves using a device that's fit around hemorrhoids. With.
  5. Getting your wisdom removed while awake i.e without being put under can be a very smooth and pleasant experience just as much as if you slept through it. It can be safer when you consider the risks associated with some types of sedation and it can be less costly too getting your wisdom teeth out without being put under
  6. These medications can increase the risk of severe bleeding during the Endoscopic Ultrasound. If the EUS is being performed in the rectal area, you may need to undergo a cleansing routine to prepare your bowels. This usually consists of taking a liquid laxative and sticking to a liquid diet for a day before the procedure
  7. These guidelines are applicable to all physicians who perform flexible gastrointestinal endoscopy without regard to medical specialty, training pathway, or practice interests. They are intended to indicate the preferred approach, but not necessarily the only acceptable one, due to the complexity of the healthcare environment

Safe pediatric dental anesthesia is the right of every child. When you tell anyone in health care that sedation to the point of coma is given in dentists' and oral surgeons' offices every day, without a separate anesthesia professional present to give the medications and monitor the patient, the response often is disbelief American Society for Gastrointestinal Endoscopy. Understanding esophageal dilation. American College of Gastroenterology. Dysphagia: Causes. Updated November 2010. Dougherty M, Runge TM, Eluri S, Dellon ES. Esophageal dilation with either bougie or balloon technique as a treatment for eosinophilic esophagitis: a systematic review and meta-analysis

Gastroscopy - sedation or not? Cancer Cha

The use of ultrathin endoscopes that can be passed transnasally and without sedation may represent a more feasible screening method. 19, 20 Methylene blue staining of the esophagus, 21 use of balloon cytology, 22 and flow cytometric analysis of DNA from biopsy specimens 23 may also provide more accurate assessment of dysplastic tissue Moderate sedation with medications like fentanyl and versed is universally used for colonoscopies. At my endoscopy center in Fullerton, we perform about 12,000 procedures a year, and 95% of. The barium swallow may be the first test recommended since the upper endoscopy is more complex and requires sedation. But don't let that stop you. The woman's message in her YouTube video is that she felt confident nothing was seriously wrong because the barium swallow showed no cancer. At that time, she did not have an upper endoscopy

Colonoscopy: What to Know If your doctor recommends you have a colonoscopy, don't worry.You may think it's going to be a terrible procedure, but it won't be. Most likely you won't even be. A 2005 meta-analysis of 12 RCTs summarized the potential benefits of propofol sedation during gastrointestinal endoscopy by comparing the cardiopulmonary complications (i.e., hypoxia, hypotension, arrhythmia, and apnea) between propofol and traditional sedative agents, but without efficacy endpoints [28] Thank you for choosing Gastrointestinal Endoscopy Associates. To schedule a procedure, please call your physician's office. To request an appointment online, click here. What do I need to bring the day of my procedure? Your insurance card(s). Driver's License or Photo ID. A list of your current medications. Co-pay or deductible as determined by your insurance [ Gastroscopy. A gastroscopy is a test where an operator - a doctor or nurse - looks into the upper part of your gut (the upper gastrointestinal tract). The upper gut consists of the gullet (oesophagus), the stomach and the first part of the gut (small intestine) known as the duodenum. The operator uses an endoscope to look inside your gut

Trans-Nasal Esophagoscopy; Esophagus Exam Endoscopy (Example Video) This video demonstrates how the esophagus can be examined without any sedation. safeendo 2015-10-20T12:57:58-04:0 INTRODUCTION: Literature supporting laparoscopic herniorrhaphy without general anesthesia is almost nonexistent. We believe that in addition to operation type, anesthesia type can also be patient specific. We therefore offered patients the option of choosing local anesthesia with sedation for totally extraperitoneal (TEP) laparoscopic inguinal hernia repair. The purpose of this study was to. Procedural sedation and analgesia (PSA) is the use of anesthetic drugs to facilitate procedures that are painful or otherwise intolerable to the patient. Painful procedures performed by emergency providers typically requiring PSA include joint reduction, fracture management, cardioversion, and tube thoracostomy Who can I call if I have questions regarding the preparation? If you are a patient scheduled for a colonoscopy at UConn Health and have problems with the preparation and/or have questions during weekday hours (8 a.m. to 4:30 p.m.) call 860-679-3238 and ask to speak with the GI nurse. If you are a patient scheduled for a colonoscopy at UConn. Bleeding from gastroesophageal varices leads to substantial morbidity and mortality in patients with cirrhosis. Previous American Association for the Study of Liver Diseases (AASLD) guidelines recommended variceal screening using upper endoscopy in all patients newly diagnosed with cirrhosis. 1 However, endoscopy is invasive and carries procedural and sedation-related risks

How unpleasant is an endoscopy? Singletrack Magazine Foru

Sedation techniques can make unpleasant procedures more acceptable to patients but they have the potential to cause life-threatening complications, particularly when administered by non-anaesthetists . NCEPOD 2000 provided evidence for radiology-related sedation problems in the UK. This report stated that the gold standard for patient. For Anesthesia: Had surgery a few days ago and even after triple dosage, I never felt groggy and was WIDE awake for the entire surgery-where they poked a hole in my leg and ran the camera up to my heart. Only local anesthesia was used. It was HORRIBLE!! This was some 1800's kind of torture—-& the doctor just kept on working even though I was shaking and crying from the pain The modified jaw-thrust maneuver (MJTM) during drug-induced sleep endoscopy (DISE) is known to predict the treatment effect of mandibular advancement devices. However, its effect on the depth of sedation and potential to provoke arousal by awakening patients during the maneuver has not been studied so far Exercise After Colonoscopy. According to the Oxford University Hospitals, you should not perform strenuous activities for 24 hours following a colonoscopy. This isn't due to the procedure itself, but the sedation that is required to perform the procedure The dose was increased by 0.1-0.2 μg/mL to achieve the recommended sedation depth: BIS level between 50 and 70 and Ramsay sedation scale level 5 (sluggish response to light glabellar tap or loud auditory stimulus). 15,17 BIS levels were selected to be in accordance with BIS levels of sleep stages N2 and N3. 2

Colonoscopy is often viewed as an invasive procedure with the potential for embarrassment, discomfort and worry related to potential findings 1.These concerns can result in anxiety that unfavourably decreases patient cooperation and satisfaction with the procedure 2.The use of sedation for colonoscopy not only enhances patient tolerance and satisfaction but also increases the willingness of. Sedation: Very rarely sedation given during the test can affect your breathing, blood pressure or heart rate. Usually such side effects are short-lived. Usually such side effects are short-lived. Trained nurses will closely monitor you and should there be any reason for concern, we will give you medicine(s) to reverse the effect of the sedative The authors reported no sedation‐related complications and out of 152 diverse arrhythmias, 148 were successfully induced using propofol, except ectopic atrial tachycardia in 4 of 7 pediatric patients. 24 Ketamine, an analgesic with sympathomimetic qualities, has been used without an anesthesiologist and has been demonstrated to enhance. The sedation medication impairs your judgment and reflexes. You will not be permitted to drive for 12 hours following your procedure. Q: Can I take a bus or a taxi home by myself after my procedure? A: No. Due to the sedation given during the procedure, you are considered legally impaired. The sedation medication impairs your judgment and reflexes Trans nasal endoscopy offers the potential to streamline evaluation of patients and decrease the costs associated with evaluating these patients. Methods and Procedure: 15 bariatric surgery patients were evaluated for preoperative pathology and postoperative complications in an office setting using trans nasal endoscopy. No sedation was required