this post was submitted on 08 Sep 2024
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The ones I observed with my attending physician were using twilight sedation with propofol, and I think they got small doses of fentanyl to manage discomfort/pain during and right after the procedure. The propofol lets them knock you out for a while without putting you under so much that they have to intubate. (That is anesthesia's job though, so it might be recorded differently on your records)
Probably just different practices, I'm not in the us. I've had like 7 of them, and it's just the nurses at the gastrolab who inject me with the funny juice, but it doesn't knock me out. Might've been an anesthesiologist there to give a nod of approval, but I doubt it. Anywho, seems like you know more about the medicine part of it, so I defer to you Dr. Daddy
That sounds more like a waking sedation. Those will get used in American medicine if it's just a sigmoidoscopy (the last bit of the rectum and colon), but for a full colonoscopy, they really prefer to conk you out a bit more than that.
Ye, going full under is understandably taken very seriously, and is used less where they think it can be avoided. It's not common at all to be put under if removing wisdom teeth for instance, unless completely medically necessary, and I think they also do it with severe dentist fright. One time during a colonoscopy I didn't even get any sedation until like midway through when I started twisting in pain and all I managed to say was "can I have...."
Good times.
I think the other part of it is that something like a full colonoscopy is a lot safer if the patient isn't moving at all given that one of the biggest and most serious risks is poking a hole through the colon with the camera.