Current role of non-anesthesiologist administered propofol sedation in advanced interventional endoscopy

Daniela Elena Burtea, Anca Dimitriu, Anca Elena Maloş, Adrian Săftoiu

Abstract

Complex and lengthy endoscopic examinations like endoscopic ultrasonography and/or endoscopic retrograde cholangiopancreatography benefit from deep sedation, due to an enhanced quality of examinations, reduced discomfort and anxiety of patients, as well as increased satisfaction for both the patients and medical personnel. Current guidelines support the use of propofol sedation, which has the same rate of adverse effects as traditional sedation with benzodiazepines and/or opioids, but decreases the procedural and recovery time. Non-anesthesiologist administered propofol sedation has become an option in most of the countries, due to limited anesthesiology resources and the increasing evidence from prospective studies and meta-analyses that the procedure is safe with a similar rate of adverse events with traditional sedation. The advantages include a high quality of endoscopic examination, improved satisfaction for patients and doctors, as well as decreased recovery and discharge time. Despite the advantages of non-anesthesiologist administered propofol, there is still a continuous debate related to the successful generalization of the procedures.

Original languageEnglish
JournalWorld Journal of Gastrointestinal Endoscopy
Volume7
Issue number10
Pages (from-to)981-6
Number of pages6
ISSN1948-5190
DOIs
Publication statusPublished - 10 Aug 2015

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