AMBULATORY ANESTHESIA: Edited by Susan Dabu-BondocNonoperating room anesthesia for endoscopic proceduresKnigge, Stephan; Hahnenkamp, Klaus Author Information Department of Anesthesiology, University Hospital, Greifswald, Germany Correspondence to Stephan Knigge, MD, DEAA, Department of Anesthesiology, University Hospital, 17475 Greifswald, Germany. Tel: +493834 86 5800; fax: +493834 86 5802; e-mail: [email protected] Current Opinion in Anaesthesiology: December 2017 - Volume 30 - Issue 6 - p 652-657 doi: 10.1097/ACO.0000000000000518 Buy Metrics Abstract Purpose of review The purpose of this review is to take a look on some practical aspects of anesthetic care in the endoscopy suite, concerning the general approach, safety, and monitoring issues. Recent findings Concerning propofol popularity for sedation during endoscopic procedures new studies create doubt in the safety of higher doses of propofol used for sedation. Careful titration of propofol, addition of synergistic supplements like ketamine and dexmedetomidine, and monitoring of anesthetic depth may limit the dose of propofol given to the patients. Capnography has the potential to detect airway compromise earlier than pulse-oximetry and by this enhancing patient safety. Summary Sedation or anesthesia in the endoscopy suite is not without risk. For complex and longer lasting procedures and in patients with significant comorbidities and risk factors, good clinical judgment, built on experience, is essential and to foster this, it seems prudent to build up a group of anesthesiologists dedicated to a special sedation service. Copyright © 2017 YEAR Wolters Kluwer Health, Inc. All rights reserved.