Statements & Guidelines
Conscious Sedation Clinical Guideline
SAMJ Vol 87 No 4 April 1996
THE SAGES CONSCIOUS SEDATION GUIDELINES
SAGES recognizes the complexity of the South African Health care system,
with particular reference to the practice of gastro-intestinal endoscopy.
Routine or elective OGD (oesophago-gastro-duodenoscopy) and colonoscopy are
regarded as OPD (out-patient), Day clinic/Office procedures, requiring
All the peer reviewed, accredited and published norms of safe and responsible
practice are recognized.
The final responsibility remains that of the Endoscopist performing the
More complex procedures or certain types of Interventional Endoscopy may
require special facilities/equipment/sedation or anaesthesia.
SAGES recognizes this to be the prerogative and responsibility of the
Endoscopist, who will decide on the required protocols.
In the setting of Private Practice this may involve the “Authorization
SAGES acknowledges that the Endoscopist’s first duty is that of patient
and procedural safety; the Anaesthetic Society Physical Status Classification
may be helpful in this regard.
is not prescriptive or proscriptive regarding guidelines for
sedation/ analgaesia/ anaesthesia and will support SAGES members fully through
its academic structures.
12 March 2004