Computer-Assisted and Patient-Controlled Sedation Platforms - 30/06/16

Doi : 10.1016/j.giec.2016.02.003

Daniel Pambianco, MD ^a,^⁎ , Paul Niklewski, PhD ^b,^c,^d
^a Charlottesville Medical Research, 325 Winding River Lane, Suite 102, Charlottesville, VA 22911, USA
^b Department of Pharmacology and Cell Biophysics, University of Cincinnati College of Medicine, 231 Albert Sabin Way, University of Cincinnati, Cincinnati, OH 45267-0575, USA
^c Xavier University, 3800 Victory Pkwy, Cincinnati, OH 45207, USA
^d Sedasys, a Division of Ethicon Endo-Surgery, Inc, Ethicon Endo-Surgery Inc, 4545 Creek Road, Cincinnati, OH 45242, USA

^∗Corresponding author.

Résumé

As the number and complexity of endoscopic procedures increase, the role of sedation has been integral in patient and physician satisfaction. This article discusses the advances of computer-assisted and patient-controlled platforms. These computer-assisted and patient-controlled platforms use different anesthetics and analgesics, all with the intent of achieving improved consistency in the level of sedation, appropriate to the needs of patients, while also improving patient safety. These systems have been around for decades; however, few are approved for use in the United States, and several still require further study before broad clinical application.

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Keywords : Sedation platforms, Computer-assisted sedation, Patient-controlled sedation, Endoscopic sedation