Consultations are held in German or English. For legal texts, the German version is authoritative.
Endoscopy under sedation – cared for during and after the examination
I perform all gastroscopies and colonoscopies under sedation. Sedation is an integral part of my approach to examinations and not merely an additional option. The aim is to make the examination as comfortable as possible under controlled conditions.
What does sedation mean?
Medication is given through an intravenous line that puts you into a deep sleep. The terms sedation and general anaesthesia do not automatically mean the same thing. Under sedation you usually breathe on your own and do not need ventilation. Sedation is tailored to your state of health and the planned procedure. During the examination, the medication is individually adjusted and dosed.
Please inform us of any previous problems with anaesthesia or sedation, sleep apnoea, allergies, heart and lung disease, and any medication you take regularly.
A well-practised team with clear roles
I perform the endoscopy personally and decide on the assessment of findings and the endoscopic measures. Specialised endoscopy nurses assist with preparation and handling of instruments, as well as with biopsies and polyp removal. Sedation is usually managed by anaesthetists. You can see who is part of my team on the team page.
Circulation and breathing are monitored during the examination. This includes blood pressure, pulse and oxygen saturation, among other things. Monitoring serves to detect changes early and to be able to respond to them. It does not make the examination risk-free, but it is an essential part of the safety concept.
All patients are cared for in the recovery room
After the examination you will be taken to the recovery room. There you will continue to be monitored and cared for. It is not just about being briefly awake: before discharge, an assessment is made as to whether your circulation, alertness and general condition allow you to return home safely.
Therefore, allow sufficient time and do not schedule any important work or private appointments immediately after the examination.
Discharge and what to do after the endoscopy
As a rule, you can leave the hospital after about one hour. An accompanying person is usually not necessary. Even if you already feel awake again, your ability to react and make decisions may still be impaired. On the day of the examination you must not drive a vehicle or operate dangerous machinery after sedation. You may eat and drink again afterwards.
What side effects can occur?
Tiredness, nausea or changes in circulation are possible. Impaired breathing or allergic reactions can also occur. Pre-existing conditions and the extent of the procedure are therefore taken into account in advance. The personal information discussion gives you the opportunity to ask questions about sedation and possible alternative approaches.