Conscious sedation is a medication given intravenously via a cannula (a plastic tube placed into your vein using a small needle) to make you feel sleepy and relaxed during your procedure and make it easier to tolerate. It will not put you completely to sleep, and you will not be unconscious. It can sometimes cause forgetfulness, so you may not remember the procedure afterwards. For certain procedures that last longer or are known to be more uncomfortable, your endoscopist will use a pain killer as part of the sedation, to help make the procedure easier.
Not everyone is suitable for conscious sedation, for example if you have breathing problems, but the nurse will discuss this with you when you come to the department.
If you choose to have conscious sedation you will be monitored in recovery after your procedure for a minimum of half an hour. Everyone is different, and sometimes the sedation can take longer to wear off, so you may be in recovery for longer than this.
Depending on the endoscopy procedure you are having, you may have already have been given fasting instructions in your procedure booklet, if so, please follow these.
If you have not, and you do want sedation, please do not have anything to eat 6 hours before your appointment time. You can drink up to 2 hours before your appointment time, but do not drink anything containing milk or cream. In the 2 hours before your procedure you can have small sips of water. Once you arrive in the endoscopy department you should not have any more sips of water.
The effects of the sedation can take up to an hour to wear off, but the medication stays in your system for up to 24 hours.
A responsible adult should collect you once you have been discharged and take you home in a car or taxi. They should stay with you for at least 24 hours. Be near a telephone in case of an emergency.
In the 24 hours following your procedure you should not:
- Drink alcohol
- Drive or operate any machinery
- Sign any legal documents
- Any other potentially dangerous activities (including cooking)
Risks of Conscious Sedation
Conscious sedation can sometimes affect your breathing and your oxygen levels, although this is very rare. During your procedure your oxygen levels and heart rate will be monitored continuously via a peg that is placed on one of your fingers. You will also be given additional oxygen to breathe in through your nose. If there are any problems with your breathing or oxygen levels, the endoscopist can administer additional oxygen, or administer another drug to reverse the effects of the sedation.