Land Acknowledgment Our Seattle offices sit on the occupied land of the Duwamish and by the shared waters of the Coast Salish people, who have been here thousands of years and remain. Learn about practicing land acknowledgment. December 22, Deep sedation raises risk of complications from colonoscopy.
Karen Wernli asks: If deep sedation during colonoscopy raises your risk, is it worth the cost to wake up quickly? Wernli, PhD, an assistant investigator at Group Health Research Institute When you go in for a colonoscopy, you usually receive some type of anesthesia to help you manage the discomfort.
How safe is this practice? Prevalence rising—and varied by region We found that one in three colonoscopies were done with anesthesia services. Patients who ask for light sedation are more likely to feel discomfort and perhaps some pain during the procedure. The likelihood increases with no sedation. Your doctor will provide instructions on changing your diet for a few days before the procedure and cleaning out your bowels the day before, which involves taking a combination of laxatives.
The laxatives will cause diarrhea and frequent trips to the bathroom. This colonoscopy prep is essential for allowing your doctor a clear view of your colon during the procedure. You can make the prep easier for yourself by getting ready for it. Stock items like moist wipes, diaper cream, and clear sodas and low-fiber foods you enjoy. Clear your schedule on preparation days to the extent possible. Talk with your doctor about any health problems, previous negative reactions to anesthesia, and all prescribed and over-the-counter medicines, vitamins, and supplements you take.
This information affects decisions about safely administering sedation or anesthesia during the procedure and avoiding complications like bleeding from polyp removal. You may be advised to stop taking some medications or supplements or to adjust their dosages in the days before the colonoscopy procedure.
Unless you elect to receive no sedation, you will need to arrange for someone to take you home after the colonoscopy. It can take a while for the sedative to wear off, so it is not considered safe for you to drive, take public transportation on your own, go back to work, or make important decisions that day. You may be advised to avoid driving for 24 hours following the procedure. All medications for sedation are administered intravenously through a vein in your arm.
Most patients receive moderate or deep sedation, but there are other options. Your choices include:. Light or moderate sedation is usually administered by a nurse under the direction of the gastroenterologist, but if you will be receiving deep sedation or general anesthesia, it is important to ask that a physician anesthesiologist be involved in your care.
It is easy to go from deep sedation into general anesthesia in which breathing is impaired , depending on your age, your medical problems, and the amount of medication needed to cause you to go to sleep. A physician anesthesiologist is a medical doctor who has the extensive education, training, and experience required to adjust medication dosing during deep sedation and intervene to assist your breathing as needed.
Even under deep sedation, you will not remain asleep for long: That effect usually wears off within 30 minutes of the removal of the IV. When you arrive You'll speak with a nurse about what's going to happen.
You may be offered things to make you more comfortable and make the test easier, such as: painkillers sedation — medicine given through a small tube in your arm to help you relax gas and air — you breathe this in to help you relax Not all hospitals offer all these things — ask about what you can have.
Important You cannot drive for 24 hours if you have sedation. What happens during a colonoscopy and how you'll feel during each stage What happens What it might feel like A thin, flexible tube with a small camera inside goes into your bottom You may feel the camera go in, but it should not hurt Air is pumped in to open up your bowels You may feel a bit bloated or like you need the toilet The tube goes through all of your large bowel You may have some stomach cramps Any growths polyps in your bowels will be removed or a sample of cells taken You will not feel anything if this happens.
Video: what happens during a colonoscopy? In this video, a nurse explains what happens during a colonoscopy. Media last reviewed: 25 November Media review due: 25 November Yet, we have many patients who have it completed with no sedatives and are satisfied with the experience.
There is no reason to be afraid of a colonoscopy. Learn more about what to expect before and during a colonoscopy and five things you can do to keep your colon healthy.
Jaime Zighelboim, M. Request an Appointment Patient Online Services. Plainview Red Wing Sherburn St. James St. Peter Waseca Waterville Wells Zumbrota. Iowa Decorah Lake Mills. View map. Posted By. Recent Posts. Speaking of Health. Here are the most common questions that I answer when discussing a sedation-free option with patients: What are the benefits of a sedation-free colonoscopy?
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