Conscious sedation for transoesophageal echocardiography (TOE): Impact on procedure and patient of titrated low dose sedation

Abstract

Background: Sedation practice for TOE varies widely. No sedation is associated with adverse patient experience, and high dose bolus midazolam regimes (5–10mg) with adverse events; particularly in the elderly. We evaluated prospectively the impact on procedure and patient of a low dose titrated sedation regime. Methods: All patients undergoing TOE over an 8-week period were involved. Operator guidelines were to give 2mg …