Retrograde Cholangiopancreatography (ERCP) is a diagnostic and therapeutic procedure that involves the manipulation of an endoscope through the duodenum to examine and treat ailments of the bile and pancreatic ducts. This is an uncomfortable procedure requiring sedation, analgesia or even general anesthesia to increase patient tolerance and cooperation1,2. ERCP is performed in endoscopy suite and sedation is challenging due to patient positioning, sharing of the airway, and deep sedation requirements for sphincterotomy. Many sedatives like benzodiazepines, propofol, and fentanyl have
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