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Appropriate sedation/anesthesia for GI endoscopy could include all of the following EXCEPT:

a) Natural airway with propofol infusion

b) Endotracheal intubation with sevoflurane

c) Laryngeal mask with sevoflurane

d) Natural airway with fentanyl and midazolam boluses

e) Natural airway with IV Scopolamine

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Answer

Answer e. There are numerous effective methods to ensure adequate amnesia and sedation for endoscopy; this list is not conclusive. However, in the absence of life-threatening GI bleeding with hemodynamic instability, scopolamine (as a single-agent amnestic) is probably not appropriate.

Notes

This question originally printed in the Pediatric Anesthesiology Review Topics kindle book series, and appears courtesy of Naerthwyn Press, LLC.

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