Chen MQ, Zhang QS. Emerging strategies in outpatient endoscopy sedation management: Recent trends and developments. World J Gastrointest Endosc 2024; 16(12): 686-690 [PMID: 39735394 DOI: 10.4253/wjge.v16.i12.686]
Corresponding Author of This Article
Qi-Sheng Zhang, MD, Chief Physician, Department of Gastroenterology, Shanghai Fourth People’s Hospital, School of Medicine, Tongji University, No. 1279 Sanmen Road, Hongkou District, Shanghai 200434, China. zhangqish@hotmail.com
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Letter to the Editor
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Gastrointest Endosc. Dec 16, 2024; 16(12): 686-690 Published online Dec 16, 2024. doi: 10.4253/wjge.v16.i12.686
Emerging strategies in outpatient endoscopy sedation management: Recent trends and developments
Ming-Qi Chen, Qi-Sheng Zhang
Ming-Qi Chen, Qi-Sheng Zhang, Department of Gastroenterology, Shanghai Fourth People’s Hospital, School of Medicine, Tongji University, Shanghai 200434, China
Author contributions: Zhang QS formulated ideas for this editorial and conducted language review and polishing; Chen MQ collected literature and wrote the manuscript; all authors have read and approved the final manuscript.
Conflict-of-interest statement: No potential conflicts of interest was reported by the authors.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Qi-Sheng Zhang, MD, Chief Physician, Department of Gastroenterology, Shanghai Fourth People’s Hospital, School of Medicine, Tongji University, No. 1279 Sanmen Road, Hongkou District, Shanghai 200434, China. zhangqish@hotmail.com
Received: July 16, 2024 Revised: October 1, 2024 Accepted: November 4, 2024 Published online: December 16, 2024 Processing time: 148 Days and 19.6 Hours
Abstract
In this article we comment on the article by Walayat et al. Outpatient endoscopy has become vital in modern healthcare, providing efficient diagnostic and therapeutic interventions with minimal patient disruption. This study highlighted the key developments in sedation management, focusing on risk stratification and procedural settings to enhance safety. The findings demonstrate that a rigorous triage tool effectively reduces adverse events related to sedation and reversals. By identifying patients at higher risk, this tool helps mitigate complications during procedures. Importantly, appropriate risk stratification allows complex procedures to be performed under conscious sedation, significantly improving patient outcomes and optimizing resource allocation, particularly in constrained healthcare environments.
Core Tip: Effective risk stratification tools play a crucial role in mitigating sedation-related complications during outpatient endoscopic procedures. By promptly identifying high-risk patients and directing them to suitable settings, such as ambulatory surgery centers or hospital outpatient departments, clinicians can enhance patient safety and procedural outcomes. This approach can have a significant impact on improving patient outcomes and resource allocation in limited healthcare settings. Future research should prioritize prospective trials to validate these findings and establish standardized protocols for risk assessment across diverse healthcare settings.
