“I want a new drug…”1

The practice of endoscopy continues to evolve. New equipment, new techniques, new indications, and new anesthetics expand the field over time. As endoscopists struggle to meet the burgeoning demand of an ever-expanding endoscopic practice, there is a tendency to become complacent with a given approach to the practice of endoscopy. Discussions with the patient regarding informed consent become standardized or generalized, equipment choices narrow, and sedation becomes rote whether given by the endoscopist, nurse anesthetist, or anesthesiologist.

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