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Problematic procedure for endoscopy

Posted By DALRYMRO

"Problematic procedure for endoscopy"

About: Queen Margaret Hospital / Endoscopy

(as the patient),

I had this procedure before and I had the throat spray which was a lot better. But my wife who had the same procedure before took sedation which is why I opted for sedation this time, but how I wished I had taken throat spray.

My wife said she did not recollect her procedure, that's why I chose sedation in my procedure. In preparation the nurse told me depending on which consultant was doing the procedure some prefer throat spray others choose sedation. I at first asked for half in half which I did not get even at start of procedure when the tool was inserted almost instantly I started gagging so I pulled the tube out then a second attempt was made. I would have thought given my discomfort at first attempt the throat spray would have been given but no it was not..I don't think a proper picture of my small intestine would have been taken in the few seconds the procedure took. Is there not a set procedure where throat spray should always be given except in cases of breathing difficulties? The sedation I did get made very little difference and I remembered everything, very disappointing. 

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Responses

Response from Gillian Ogden, Head of Nursing, Planned Care, NHS Fife 7 years ago
Gillian Ogden
Head of Nursing, Planned Care,
NHS Fife

Submitted on 04/05/2017 at 14:09
Published on Care Opinion at 15:05

picture of Gillian Ogden

Dear DALRYMRO

Thank you for taking the time to post your feedback about your recent endoscopy on Care Opinion. I was sorry to read your description of your experience, it doesn't sound good at all.

The level of sedation that we give is small and it affects people differently. Some patients, like your wife, wont remember anything whereas others may not feel the effect much at all. We have had a few posts recently on this subject and we are in the process of changing our information booklets to try to reflect this so that our patients have a better idea of what to expect.

We would not routinely give throat spray with sedation. Sedation can impair breathing and can affect different people in different ways. Throat spray impairs the gag reflex so if we give both together, the patient is at risk of aspirating fluid into their lungs. Both can be given in exceptional circumstances however this would be after careful consideration and at the discretion of the endoscopist.

Your comments have been useful to us and you make a few good points that will further help us improve the information that we give our patients.

If you can, and if you feel it would be useful, I would be grateful for the opportunity to speak to you further about your experience. I can be contacted directly on 01592 643355 ext 20148 or by email gillian.ogden@nhs.net

I hope that you are feeling better now

Thanks again

Kind regards

Gill

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