Use of Ayer’s T piece circuit for monitored anaesthesia care for ERCP

Although moderate (conscious) sedation is intended during elective gastrointestinal endoscopy, unintended levels of deep sedation occur resulting in respiratory and cardiac compromise. We present here use of Ayre’s T-piece circuit along with nasopharyngeal airway for Endoscopic Retrograde CholangioPancreatography (ERCP) procedure under sedation which negates all the above problems, ensuring safety of the patient.

DOI: http://dx.doi.org/10.4038/slja.v23i1.7043