Current role of non-anesthesiologist administered propofolsedation in advanced interventional endoscopy

• 作者: Adrian S?ftoiu. Anca Dimitriu Anca Elena Malo? Daniela Elena Burtea
• 来源期刊: 世界胃肠内镜杂志：英文版（电子版）
• 学科: 医学
• 关键词: Non-anesthesiologist administered propofolsedation ADVANCED interventional endoscopy ENDOSCOPIC ultrasound ENDOSCOPIC retrograde CHOLANGIOPANCREATOGRAPHY
• 年，卷（期）: 2015,（10）
• 页码范围: 981-986
• 页数: 6页
• 分类号: R

摘要

Complex and lengthy endoscopic examinations likeendoscopic ultrasonography and/or endoscopic retrogradecholangiopancreatography benefit from deepsedation, due to an enhanced quality of examinations,reduced discomfort and anxiety of patients, as well asincreased satisfaction for both the patients and medicalpersonnel. Current guidelines support the use ofpropofol sedation, which has the same rate of adverseeffects as traditional sedation with benzodiazepines and/or opioids, but decreases the procedural and recoverytime. Non-anesthesiologist administered propofolsedation has become an option in most of the countries,due to limited anesthesiology resources and theincreasing evidence from prospective studies and metaanalysesthat the procedure is safe with a similar rate ofadverse events with traditional sedation. The advantagesinclude a high quality of endoscopic examination,improved satisfaction for patients and doctors, as wellas decreased recovery and discharge time. Despitethe advantages of non-anesthesiologist administeredpropofol, there is still a continuous debate related to thesuccessful generalization of the procedures.