When I had endoscopies in the US, I was given fentanyl and midazolam. There may have been a third component I can't remember, but definitely at least those two. It wasn't full-on general anaesthesia where I needed to be intubated because I couldn't breathe independently, but it was certainly more than a numbing throat spray.
That being said, the UK did discover something during one my scopes that had been missed for years in the US because I was *too* sedate during the US procedures. During one of my more traumatic UK ones, I moved a bit due to the discomfort. During this, they were able to see something that would have been missed if I had been totally out cold and completely motionless because it only became apparent when I was actively thrashing about.
I accept there are benefits to having patients as conscious as possible during some procedures, but I think doctors should trust their patients a bit more as well. If I say that I've had these procedures for years and I know I definitely need sedation, I know what I'm talking about.
A bit of an aside, but this also kind of reminds me of a funny thing that happened when I woke up after having an operation here (in the UK). A doctor stopped by and asked how I was feeling and what my pain level was. I said that I was still in a little discomfort, and perhaps I could get a paracetamol drip added. The doctor smiled and said, "Oh, honey, it's okay. You don't have to put on a brave face. I'll get you pain relief." I don't know what it was, but it certainly *was* pain relief. I was back into unconsciousness for another hour and for the rest of the day, DH said I was totally tripping on something good.
You say you want something; they don't give it to you. You say you don't need something, you totally get it. I give up!
