How do you handle patients who require anesthesia for interventional gastroenterology procedures?

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Sample interview questions: How do you handle patients who require anesthesia for interventional gastroenterology procedures?

Sample answer:

Assessment

  • Preoperatively assess the patient’s medical history, current medications, and allergies.
  • Review relevant medical records, including lab results and imaging studies.
  • Perform a thorough physical examination, paying attention to the airway, cardiovascular, and respiratory systems.

Anesthetic Planning

  • Determine the appropriate anesthesia technique based on the patient’s overall health, the procedure’s requirements, and the anesthesiologist’s experience.
  • Options include general anesthesia, monitored anesthesia care (MAC), or conscious sedation.

Anesthetic Management

General Anesthesia

  • Establish and maintain a secure airway with an endotracheal tube or laryngeal mask airway.
  • Administer general anesthetic agents to induce and maintain unconsciousness.
  • Monitor vital signs, oxygenation, and ventilation throughout the procedure.

MAC or Conscious Sedation

  • Administer sedatives and analgesics to provide a state of relaxation and pain relief while maintaining spontaneous ventilation.
  • Use a combination of propofol, fentanyl, and/or midazolam.
  • Monitor airway patency, respiratory rate, and oxygenation closely.

Intraoperative Monitoring

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