I have had conscious sedation for all of my pouchoscopies and all 3 of my dilations last year. My Pouch inlet was actually dilated by an advanced endoscopist at Yale. Propofol is NOT conscious sedation as you are out and not conscious.
There are in fact levels of conscious sedation, and my GI doctor has a funny way of describing the categories. Light sedation is "twilight", medium sedation is medium, and deep sedation is "bombed" or "out to lunch." I usually go medium or deep.
BTW, in Connecticut, the law has changed and.now anesthesiologists MUST deliver any conscious sedation, and not a nurse. Nurses did so until 2022. It used to be that the anesthesiologist only was required to administer propofol, but now it's conscious sedation too. I believe this law stems from a number of cases of nurses and CNAs stealing fentanyl and selling it on the street, where it then is mixed with other street drugs for potency, causing a massive number of ODs and fatalities by street opioid users. Now they don't let them handle it.
Unfortunately for me, the anesthesiologist I was assigned to do my conscious sedation behaved like a Propofol salesman. My strong views on propofol being a rip-off of patients is well discussed on this board, but he never read those posts. Instead he tried to engage me in a long debate about the virtues of propofol. I told this wiseass that (a) he sounded like the President of the Marketing firm hired by the propofol manufacturer, and (b) no amount of convincing would change my mind and just give me the damn conscious sedation cocktail of fentanyl and versed. He clammed up and I must say did a great job on sending me into Lala land with the conscious sedation. And of course I saved $2000 on my insurer's costs and my future premiums, which are now around $1200 a month.