EGD (esophagogastroduodenoscopy)

Last updated: February 9, 2026

Access
PIV x1
Airway
MAC (+/- HFNC). Or GA with Oral ETT (esp if n/v)
Induction
Lidocaine/Propofol. Midazolam/fentanyl may be used if needed, but propofol-only anesthesia is often cleaner with faster wakeup.
Maintenance
MAC Propofol PRN, Propofol gtt.
Emergence
Awake
Antibiotics
None
Position
Supine/Sloppy Left lateral decubitus for GI people

Notes

Consider RSI GA with ETT if nausea/vomiting risk, gastroparesis, bleeding, or if GI finds significant secretions/food bolus upon entry into stomach