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To Celebrate CRNA Week, Let’s talk about Sedation

At DHS, we have an awesome group of CRNA’s who administer sedation for our procedures, and we want to recognize them for their commitment to patient safety, as well as their contribution to putting the patient first! CRNA stands for Certified Registered Nurse Anesthetist.

 

Here at DHS, we perform several procedures, most commonly colonoscopy and endoscopy exams. Most patients undergoing these procedures choose to be sedated thereby maximizing comfort, minimizing anxiety, and increasing the quality of the exam. Our CRNA’s may utilize two different types of sedation; below is a little information about each.

 

Conscious Sedation

Up until recently, conscious sedation was the most commonly used sedation for colonoscopy. As the name indicates, while the patient is moderately sedated, they are conscious and may have the ability to respond to verbal communication as well as react to any relative procedural stimulation. It does take a few hours to wear off completely following the procedure, so patients are required to have someone accompany them to their home, and are not permitted to drive or operate machinery until the next day. There may also be increased levels of forgetfulness in the post-sedation period, including a lack of recall of leaving the Center or the communicated discharge instructions. For reference, conscious sedation is the same sedation used for when a person has their wisdom teeth pulled.

 

Propofol

Propofol provides a deeper level of sedation and has become a popular choice in recent years. Administered by IV, Propofol will render the patient unconscious, but they will breathe on their own without the use of a ventilator. Propofol has a much quicker recovery time than conscious sedation, and patients awaken more clear-headed with relatively little feeling of residual sedation, less of a “hungover” or “forgetful” feeling. Even with the quicker recovery time, patients are still required to have a person to drive them home after the procedure and are not permitted to drive or operate machinery until the next day.

 

At DHS, we use Propofol as our preferred sedation, unless there is a circumstance that prevents its use, such as an allergy or if the patient would be unable to tolerate deep sedation. Both conscious sedation and Propofol are administered by our CRNA team, and they are present to monitor the patient throughout the entire procedural period.

 

Now you know a little about how sedation works for our procedures. Again, we want to thank our fantastic group of CRNA’s for all they do to ensure a positive patient experience.

Posted by Comm Dept on January 26, 2017 | Categories: Blog, Colonoscopy, CRNA, Endoscopy, and Procedure.