Driving Skills Recovery Following Procedural Sedation for Gastrointestinal Endoscopy

Inclusion Criteria: * English speaking subjects ≥18 years * Currently hold a valid driver's license * Able to give informed consent * Undergoing either anesthesiologist directed propofol sedation targeting deep sedation (Group1) or a combination of an opioid and benzodiazepine targeting moderate sedation (Group 2) for elective outpatient procedures Exclusion Criteria: * Inpatients * Subjects patients with altered mental status * Subjects with legal blindness * Physical limitations that would not make them candidates to be tested in the driving simulator * American Society of Anesthesiologists physical classification score ≥ 4 * Urgent procedures * Systolic hypotension defined as a systolic blood pressure ≤ 90 mmHg * Subjects in whom English is not a primary language.