Letter to the Editor: Optimal Method for Sedation of Pediatric Upper Gastrointestinal Endoscopy

As with the author's study,¹ most previous studies used the Ramsay score to evaluate procedural sedation. Although there are other scores (e.g., Richmond Agitation/Sedation Scale, Modified Ramsay Sedation Scale, Modified Observer's Assessment of Alertness and Sedation), they have similar scoring systems.²,³ These scores are general and applicable to various procedures as they have a uniform standard and clarity. However, using a sedation score specialized for pediatric sedative upper gastrointestinal endoscopy is more suitable for determining the optimal dose of sedative drugs. The Ramsay score examines a patient's stimulation response using six levels. Depending on the sedation depth, the level of stimulation response is considered appropriate.²