Training in patient monitoring and sedation and analgesia.

This is one of a series of statements discussing training issues for gastrointestinal endoscopy. The Training Committee of the American Society for Gastrointestinal Endoscopy prepared this text. A previous guideline related to this topic (Gastrointest Endosc 1998:47;669-71) was published in 1998. Since that time, new information has become available which requires an update of this statement and its recommendations. In preparing this training guideline, a MEDLINE literature search was performed, and additional references were obtained from the bibliographies of the identified articles and from the recommendations of expert consultants. When inadequate data existed from well-designed prospective trials, emphasis was given to results from large series and reports from recognized experts. Guidelines for appropriate training in endoscopy are based on a critical review of the available data and expert consensus. Controlled clinical trials are needed to clarify aspects of this statement, and revision may be necessary as new data appear.