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Comment & Response |

Cardiac Arrests During Endoscopy With Anesthesia Assistance—Reply

Gregory S. Cooper, MD1
[+] Author Affiliations
1Division of Gastroenterology, University Hospitals Case Medical Center, Cleveland, Ohio
JAMA Intern Med. 2013;173(17):1660. doi:10.1001/jamainternmed.2013.8713.
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In Reply We thank Goudra and Singh for their interest in our study of complications following anesthesia assistance for colonoscopy. Their findings of a 3-fold increase in the use of anesthesia-assisted endoscopic procedures are certainly consistent with our results in Medicare beneficiaries as well as in privately insured individuals.1,2 Although our study could not directly measure patient severity of illness and instead included a validated claims database comorbidity index,3 other studies suggested that much of the increase has been in patients at low risk for adverse events with conscious sedation.

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September 23, 2013
Basavana Gouda Bharamana Goudra, MD, FRCA; Preet Mohinder Singh, MD, DNB
1Department of Anesthesiology and Critical Care, Perelman School of Medicine, University of Pennsylvania, Philadelphia
2Department of Anesthesia and Critical and Critical Care, All India Institute of Medical Sciences, New Delhi, India
JAMA Intern Med. 2013;173(17):1659-1660. doi:10.1001/jamainternmed.2013.8756.
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