| The following preclude admission to the Southwest Endoscopy Center: |
-Failure to meet ASA NPO guidelines (no clear liquids within 2 hours of admission, no light meal within 6 hours of admission, no regular food within 8 hours of admission)
-Age less than 16 years
-Heart rate persistently greater than 110 bpm
-Baseline oxygen saturation less than 88% on room air at time of admission
-Baseline oxygen saturation less than 90% on room air during clinic visit-Daytime supplemental oxygen use (if prescribed by healthcare provider)-BMI greater than 40
-Anticoagulated status (INR over 1.5 if anticoagulated with warfarin (Coumadin®) or unsuspended use of dabigatran (Pradaxa®) or similar agents, with anticipated need for endoscopic therapy (which includes polypectomy)
-Weight >500 pounds-Cardiac pacemaker, automated implanted cardiac defibrillator (AICD), or deep brain stimulator (other implanted electronic devices are permitted, if they can be inactivated or the manufacturer has determined that the use of electrocautery poses no risk to the patient or the device
-Pregnancy-Evidence of acute intoxication (alcohol, marijuana, prescription or nonprescription medication)
-New atrial fibrillation (not previously identified and evaluated)
-Current treatment with renal dialysis
-Personal history of malignant hyperthermia
-Current admission to a hospital or skilled nursing facility
– Baseline blood pressure > 180/100
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