1. Standard monitoring
2. Capnography
3. Nurse ventilation confirmation
4. Nurse - patient interface
5. Airway rescue
       nurse
       gastroenterologist
       respiratory technician
       emergency room physician
       anesthesiologist

Rescue Drugs

1. Atropine
2. Ephedrine
   - Is it really ephedrine?
   - 15 mg. IV
3. Oxygen

Observations:

1. No need for atropine in EGD.
2. No need for atropine in colonoscope withdrawal.
3. Bradycardia usually requires no treatment.
4. We've seen simultaneous hypotension and bradycardia requiring both rescue drugs only once.
5. Frailer patients and deeper sedation require more frequent BP determinations.