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Colonoscopy sedation - colonoscopy sedation administered by an anesthetist

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Colonoscopy Sedation

Colonoscopy sedation is effective with various drugs and sometimes hypnosis

Colonoscopy sedation makes the procedure much more comfortable. Many people don't remember a thing after sedation begins.

Sedative Selection

The anesthesiologist will select the best drugs for you to make the procedure completely painless. Doctors often combine a sedative to relieve anxiety with a painkiller. Versed is the most commonly used anti-anxiety drug for colonoscopies. It brings on deep relaxation or sleep. It also causes amnesia. You may not remember talking to the doctor after your procedure. Versed is combined with painkillers, such as Demerol, Valium or Fentanyl.

Another colonoscopy sedation drug is Propofol. It's more powerful than Versed and works without narcotics. Propofol works well for people who take narcotics for pain management or other reasons. Patients recover more quickly from Propofol. Unfortunately, some insurance companies won't cover its use. An anesthesiologist needs to administer Propofol, which adds to the cost.

If you are very hard to sedate, your doctor may suggest general anesthesia. This is not common. It's much riskier and more costly. It takes longer to recover also.

Sedative Variations

There are a few variations to the usual anesthesia drugs. Most colonoscopy drugs are injected into the veins. But doctors have had patients inhale nitrous oxide - laughing gas. Nitrous oxide hasn't done as good a job at keeping patients pain-free, but they recover faster.

A new technique is called Patient Controlled Analgesia (PCA). You use a small pump to dose yourself with drugs during the procedure. The pump is set to lock out at a certain volume, so you won't overdose. The technique has had good results.

A recent study also showed that people who listened to music during their colonoscopy required one less dose of sedatives!

Another colonoscopy sedation technique is hypnosis. Hypnosis works well for people who can be hypnotized. Big advantages are no risk and immediate recovery. And there are some who tough it out with no sedation. Doctors don't usually recommend this, as the colonoscopy can be very uncomfortable or even painful without drugs.

Notes On Safety

"People who listened to music during their colonoscopy required one less dose of sedatives!"

You have to be safe and let the drugs get out of your system before doing something challenging. It can take a day for the drugs to wear off. Even if you feel perfectly normal, you should not drive or operate heavy equipment for at least 12 hours after your colonoscopy. You should also avoid doing anything requiring good balance, like climbing ladders.

All sedatives and painkillers can have side effects. The sedatives cause your breathing to slow way down. Your doctor will keep a close eye on you during the procedure and adjust the dose. Some people get a rash at the injection site. Some may have nausea or vomiting. But many people have no bad reactions at all.

It's very, very important to tell your doctor about any medications you are taking. That includes over-the-counter medicines and even herbal supplements. Certain medicines can react badly with the sedatives.

Also, let your doctor know about your health history. If you have diabetes, liver problems or other conditions, your doctor may want to change the drug or dosage for your colonoscopy. And if you are pregnant or nursing, your doctor needs to know also.

Protect Yourself From the High Cost of Cancer

According to the recent studies, American men have a 44% chance of developing cancer while the chances for women are about 37%. The general risk of developing colon cancer in the United States is about 6%. For this reason, it's important for everyone, particularly people above the age of 50 years, to go for routine screening.

Whether discovered early or late, cancer is a debilitating disease due to the care, costs and the mental and physical trauma involved. Many times the cost of treatment leaves the patient in heavy financial distress.

Most insurance plans do not cover the total cost of the treatment, which leaves the patient and their family in a lurch. These days people have started purchasing supplemental cancer insurance that can help in covering otherwise uninsured expenses related to cancer illness. If you would like to learn more about supplemental cancer insurance you can click here.

There are lots of options to keep you pain-free during your colonoscopy. Talk with your doctor to find the best one for you.

Written by Donna Kaluzniak - 5/2/09

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