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Propofol sedation in Drug Induced Sedation Endoscopy without an anaesthesiologist â€" a study of safety and feasibility

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@article{21477421673f472cba282a14c1d8a88a,
title = "Propofol sedation in Drug Induced Sedation Endoscopy without an anaesthesiologist {\^a}€{"} a study of safety and feasibility",
abstract = "BACKGROUND: Propofol sedation in Drug Induced Sedation Endoscopy (DISE) of the upper airway of patients with obstructive sleep apnea (OSA) without the presence of anesthesiologist has not been done before. Propofol sedation is normally administered by an anesthesiologist. This is the first study of this new method.METHODOLOGY: Based on the positive experience with Nurse-administered Propofol Sedation (NAPS) for endoscopic procedures in the departments of gastroenterology we wanted to test the set-up as method of propofol sedation for DISE procedures in our Otorhinolaryngology (ORL) department. The ORL specialists and staff nurses that carry out DISE procedures all underwent a formalized education in Nurse-administered Propofol Sedation before the study. We included 200 patients with severe snoring and / or obstructive sleep apnea. They were referred for DISE examination prior to possible targeted surgery based on the findings.RESULTS: In our study the aforementioned ORL team successfully cared out propofol sedation without the presence of an anesthesiologist. All examinations were carried out according to plan. There were no adverse events during the procedures or in the following observational period.CONCLUSIONS: The NAPS method of sedation for DISE seems safe and feasible when performed by trained staff in a hospital setting.",
keywords = "Diagnostic techniques, Respiratory system, Propofol/administration & dosage, Hypnotics and Sedatives/administration & dosage, Anesthesiologists, Humans, Sleep Apnea, Obstructive, Endoscopy",
author = "Kiaer, {Eva Kirkegaard} and Philip T{\o}nnesen and S{\o}rensen, {Henrik Bredahl} and Niclas Rubek and Anne Hammering and Christine M{\o}ller and Hildebrandt, {Anne Marie} and Jennum, {Poul J} and {von Buchwald}, Christian",
year = "2019",
doi = "10.4193/Rhin18.066",
language = "English",
volume = "57",
pages = "125--131",
journal = "Rhinology",
issn = "0300-0729",
publisher = "International Rhinologic Society",
number = "2",

}

RIS

TY - JOUR

T1 - Propofol sedation in Drug Induced Sedation Endoscopy without an anaesthesiologist â€" a study of safety and feasibility

AU - Kiaer, Eva Kirkegaard

AU - Tønnesen, Philip

AU - Sørensen, Henrik Bredahl

AU - Rubek, Niclas

AU - Hammering, Anne

AU - Møller, Christine

AU - Hildebrandt, Anne Marie

AU - Jennum, Poul J

AU - von Buchwald, Christian

PY - 2019

Y1 - 2019

N2 - BACKGROUND: Propofol sedation in Drug Induced Sedation Endoscopy (DISE) of the upper airway of patients with obstructive sleep apnea (OSA) without the presence of anesthesiologist has not been done before. Propofol sedation is normally administered by an anesthesiologist. This is the first study of this new method.METHODOLOGY: Based on the positive experience with Nurse-administered Propofol Sedation (NAPS) for endoscopic procedures in the departments of gastroenterology we wanted to test the set-up as method of propofol sedation for DISE procedures in our Otorhinolaryngology (ORL) department. The ORL specialists and staff nurses that carry out DISE procedures all underwent a formalized education in Nurse-administered Propofol Sedation before the study. We included 200 patients with severe snoring and / or obstructive sleep apnea. They were referred for DISE examination prior to possible targeted surgery based on the findings.RESULTS: In our study the aforementioned ORL team successfully cared out propofol sedation without the presence of an anesthesiologist. All examinations were carried out according to plan. There were no adverse events during the procedures or in the following observational period.CONCLUSIONS: The NAPS method of sedation for DISE seems safe and feasible when performed by trained staff in a hospital setting.

AB - BACKGROUND: Propofol sedation in Drug Induced Sedation Endoscopy (DISE) of the upper airway of patients with obstructive sleep apnea (OSA) without the presence of anesthesiologist has not been done before. Propofol sedation is normally administered by an anesthesiologist. This is the first study of this new method.METHODOLOGY: Based on the positive experience with Nurse-administered Propofol Sedation (NAPS) for endoscopic procedures in the departments of gastroenterology we wanted to test the set-up as method of propofol sedation for DISE procedures in our Otorhinolaryngology (ORL) department. The ORL specialists and staff nurses that carry out DISE procedures all underwent a formalized education in Nurse-administered Propofol Sedation before the study. We included 200 patients with severe snoring and / or obstructive sleep apnea. They were referred for DISE examination prior to possible targeted surgery based on the findings.RESULTS: In our study the aforementioned ORL team successfully cared out propofol sedation without the presence of an anesthesiologist. All examinations were carried out according to plan. There were no adverse events during the procedures or in the following observational period.CONCLUSIONS: The NAPS method of sedation for DISE seems safe and feasible when performed by trained staff in a hospital setting.

KW - Diagnostic techniques

KW - Respiratory system

KW - Propofol/administration & dosage

KW - Hypnotics and Sedatives/administration & dosage

KW - Anesthesiologists

KW - Humans

KW - Sleep Apnea, Obstructive

KW - Endoscopy

UR - http://www.scopus.com/inward/record.url?scp=85064239047&partnerID=8YFLogxK

U2 - 10.4193/Rhin18.066

DO - 10.4193/Rhin18.066

M3 - Journal article

VL - 57

SP - 125

EP - 131

JO - Rhinology

JF - Rhinology

SN - 0300-0729

IS - 2

ER -

ID: 56228400