Review on sedation for gastrointestinal tract endoscopy in children by non-anesthesiologists

Table 4 Preparation of a child for sedation for gastrointestinal endoscopy

	Preparation of the patient	Comments
Planning of the investigation /procedure	Understanding of the investigation	Explanation of the examination: Aims of investigation Possible risks
	Informed consent	Signed by parents and/or the child (depending on the age and legislation)
	Presedation assessment	Co-morbidity ASA score (Table 5) Medicines Bleeding tendency Previous undesirable effects of sedation/anesthesia Specific contraindications for the planned sedation Previous complications of investigations Allergies The need for antibiotic prophylaxis Laboratory investigation/consultation before the investigation/procedure (e.g., tests of hemostasis in case of bleeding tendency) Additional important data
Preparation	Exact instructions (fasting time, colon cleansing etc.)
On the day of examination	Focused history: Current health state Infectious diseases Epidemiologic situation Fasting Allergy Specific contraindications for the planned sedation
	Physical examination	Complete physical examination with the focus on respiratory and cardiovascular system
	Measurement of vital signs	Arterial blood pressure Heart rate Arterial oxygen saturation
	Laboratory investigations	If needed

ASA: American Society for Anesthesiology.