Debates

Anesthesiologist-directed sedation for ambulatory endoscopic procedures has enjoyed an unparalleled and unbridle growth in recent years. Between 2003 and 2009, payments for anesthesiologist-directed sedation tripled from just under $400 million to 1.3 billion. This dramatic upsurge was driven not by increased cost but by increased utilization, which occurred almost exclusively in the commercial payor sector. […]

Debates

The question of who may administer endoscopic sedation has burned for over a decade, but recent developments have fanned the flames again. The approval by FDA of the SedaSys system and its subsequent withdrawal from the market has increased the heat, but not the light, surrounding this controversy. I am hopeful that this pro-con discussion […]