Does painless gastroscopy require anesthesia evaluation?

Anesthesia evaluation is usually required before painless gastroscopy examination. Painless gastroscopy requires intravenous anesthesia to keep the patient in a brief unconscious state. Anesthesia assessment mainly focuses on comprehensive risk assessment of the patient's cardiovascular function, drug allergy history, medical history, etc., to ensure anesthesia safety. Anesthesia assessment is a necessary step before painless gastroscopy examination, completed by an anesthesiologist. The assessment includes measuring basic vital signs such as blood pressure, heart rate, and blood oxygen saturation, asking for a history of chronic conditions such as asthma, heart disease, and sleep apnea, and confirming whether there is a history of difficult airways or anesthesia drug allergies. Some hospitals may require comprehensive basic examinations such as electrocardiogram, blood routine, coagulation function, etc. The evaluation results will determine whether to adjust the anesthesia plan or suspend the examination, for example, patients with severe cardiopulmonary dysfunction may need to switch to regular gastroscopy. The evaluation is usually conducted 1-3 days before the inspection to allow for adjustment time. In rare cases, emergency painless gastroscopy may simplify the evaluation process, but it needs to be implemented under close supervision. For special populations such as pregnant women, severe obesity, and uncontrolled epilepsy, the risk of anesthesia is significantly increased, and evaluation needs to be more cautious. If the patient has recent symptoms such as cold, fever, and acute gastroenteritis, it is recommended to postpone the examination. After completing the anesthesia assessment, fasting for at least 6 hours on the day of the examination must be accompanied by family members. Do not drive or work at heights within 2 hours after surgery, and avoid signing important documents within 24 hours. It is recommended to maintain a regular daily routine and avoid drinking alcohol one week before the examination. Patients with hypertension should take medication normally. If abnormal indicators are found during the evaluation, the primary disease should be treated promptly before scheduling a follow-up examination.