**1. Introduction**

44 Gastrointestinal Endoscopy

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Endoscopy can be a very traumatic event for a child and it is essential that the procedure be smooth, painless and anxiety-free. Hence, endoscopy in children normally requires the simultaneous administration of sedation to warrant the patient's well-being, comfort, and cooperation throughout the procedure. The endoscopist has to balance the benefits with the possible adverse events because sedation related complications are reported to be much more than procedure related events like perforation and bleeding (Thakkar, Elserag et al. 2007). Although there is little agreement amongst pediatric endoscopists on best sedation practices everyone does agree that ensuring the child's safety is paramount (Lightdale, Mahoney et al. 2007).
