May | June 2011 www.ASGE.org
VOL. 18, NO. 3
An Official Publication of the American Society for Gastrointestinal Endoscopy
6 Ask the expert: Management
of bile duct stones
8 ASGE’S 68th President:
Dr. Gregory G. Ginsberg
10 Federal policy changes that will affect
your practice – are you ready?
20 2011 ASGE research and mentor
awards announced
21 New affiliate partner:
Transaction Services
30 2010 Cook Medical Don Wilson
recipient: Dr. Do Hyun Park
See Inside this issue on pg. 2 for
a detailed list of contents.
ASGE Celebrates
70 Years of Excellence
Capnographic monitoring for endoscopic
sedation: Coming soon to an endoscopy
unit near you?
By Patrick D. Gerstenberger, MD, FASGE
Recent changes in the American Society of Anesthesiologist’s (ASA)
Standards for Basic Anesthetic Monitoring1 require the use of
capnography for moderate sedation. These revised standards, which
take effect July 1, 2011, impact both the processes and costs of
delivering endoscopic sedation.
Capnographic monitoring is not widely employed or
readily available in endoscopy units that do not use anesthesia
providers or administer propofol in an endoscopist-directed
propofol model. From a practice management perspective, endoscopists and endoscopy
unit managers must consider these standards and recent changes in sedation practice and
reflect them in their endoscopy unit’s policies and procedures, staff training, procedural
documentation and budgeting for equipment acquisition and supply costs.
Patrick D. Gerstenberger,
MD, FASGE
This article addresses practice management related questions that may arise from the
publication of this standard. A brief overview of capnography in sedation monitoring
is also provided. Publication of the ASA standard and the manner in which it applies to
continued on page 24
President’s message
Gregory G. Ginsberg, MD, FASGE
2011-2012 ASGE President
Looking into the future of ASGE
Order Blue Star pins online!
Colon Cancer:
Preventable. Treatable. Beatable.
The word “endoscopy” literally means “to look into.” We, as dedicated and
trained gastrointestinal endoscopists, and more specifically as ASGE members,
are privileged to peer into the depths of our fellow man, where we discover the
spectrum of health and disease and all the attendant beauty and ugliness the
human body is capable of displaying.
Made possible, in part, through the
ASGE Foundation.
But we have moved far beyond simple inspection. When we “look” today, we
interrogate the surface and beyond with highly evolved morphologic assessment
and, increasingly, with chromic and electronically enhanced imaging. Moreover,
endoscopic therapies have revolutionized the management of digestive and related
disorders, and the prospects for emerging endoscopic therapies seem limited,
sometimes, only by our imaginations and the laws of physics.
