Anesthesia for GI endoscopy in the era of COVID-19

As a result of COVID-19, the last few weeks have necessitated reevaluation sedation paradigm for gastrointestinal (GI) endoscopic procedures. Routine screening and some surveillance procedures taken backseat likely to remain so until vaccine or effective treatment becomes available. Anesthesia providers endoscopists are required adapt this new reality rapidly. The general aim remains same-patient comfort, reduced hypoxia, prevention aspiration along with rapid recovery, discharge. present review focuses on necessary modification reduce risk virus contagion both patients (from health-care providers) vice versa. A preprocedure evaluation consenting should be modified provided remotely. Unsedated GI endoscopy, minimal respiratory depression, anesthesia explored. Challenges supplemental oxygen administration monitoring addressed. Guidelines appropriate use personal protective equipment discussed. Measures limiting aerosolization deliberated.