Should the sedation required for endoscopy be administered exclusively by anesthetists or could it be administered safely and effectively by other medical specialists or by specialist nurses?;¿La sedación necesaria para la realización de una endoscopia debe ser realizada exclusivamente por un anestesista o puede ser realizada con seguridad y eficacia por médicos no anestesistas o personal de enfermería especializado?

Gastroenterologia y Hepatologia

Volumn 32, Issue 1, 2009, Pages 65-67

  González Huix Lladó, Ferran ^a  

^a Servicio de Aparato Digestivo   (Spain)

Author keywords

[No Author keywords available]

Indexed keywords

BENZODIAZEPINE; MIDAZOLAM; PETHIDINE; PROPOFOL;

ANESTHESIST; ARTICLE; BISPECTRAL INDEX; COST EFFECTIVENESS ANALYSIS; GASTROINTESTINAL ENDOSCOPY; MEDICAL PRACTICE; MEDICAL SPECIALIST; NURSE; PATIENT SATISFACTION; PRACTICE GUIDELINE; SAFETY; SEDATION;

ANESTHESIOLOGY; BENZODIAZEPINES; CLINICAL TRIALS AS TOPIC; CONSCIOUS SEDATION; DEEP SEDATION; ENDOSCOPY, DIGESTIVE SYSTEM; HUMANS; HYPNOTICS AND SEDATIVES; MONITORING, PHYSIOLOGIC; NARCOTICS; NURSE ANESTHETISTS; PROPOFOL; RISK; SPECIALTIES, MEDICAL;

EID: 63149196069     PISSN: 02105705     EISSN: 15789519     Source Type: Journal    
DOI: 10.1016/j.gastrohep.2008.06.002     Document Type: Article

References (25)

1. Patrick J., Baron T.H., Hirota W.K., Goldstein J.L., Jacobson B.C., Leighton J.A., et al. Guidelines for conscious sedation and monitoring during gastrointestinal endoscopy. Gastrointest Endosc. 58 (2003) 317-322
2. Horn E., and Nesbit S.A. Pharmacology and pharmacokinetics of sedatives and analgesics. Gastrointest Endosc Clin North Am. 14 (2004) 247-268
3. Bryson H.M., Fulton B.R., and Faulds D. Propofol: un update of its use in anaesthesia and conscious sedation. Drugs. 50 (1995) 513-519
4. Agencia Española de Medicamentos y Productos Sanitarios. Última actualización: 2 de diciembre de 2003. Última revisión: agosto de 2004. Ficha técnica. Propofol-Lipuro 1% (10 mg/ml) emulsión inyectable.
5. Vargo J.J., Zucaro G., Dumot J.A., Shermock K.M., Morrow J.B., Conwell D.L., et al. Gastroenterologist administered propofol versus meperidine and midazolam for advanced upper endoscopy a prospective, randomized trial. Gastroenterology. 123 (2002) 8-16
6. Sipe B.W., Rex D.K., Latinovich D., Overley C., Kinser K., Bratcher L., et al. Propofol versus midazolam/meperidine for outpatient colonoscopy: Administration by nurses supervised by endoscopists. Gastrointest Endosc. 55 (2002) 815-825
7. Vargo J.J., Zuccaro Jr. G., Dumot J.A., Shay S.S., Conwell D.L., and Morrow J.B. Gastroenterologist-administered propofol for therapeutic upper endoscopy with graphic assessment of respiratory activity: a case series. Gastrointest Endosc. 52 (2000) 250-255
8. Rex D.K., Overley C., Kinser K., Coates M., Lee A., Goodwine B.W., et al. Safety of propofol administered by registered nurses with gastroenterologist supervision in 2000 endoscopic cases. Am J Gastroenterol. 97 (2002) 1159-1163
9. Heuss L.T., Schniepper P., Drewe J., Pflimlin E., and Beglinger C. Risk stratification and safe administration of propofol by registered nurses supervised by the gastroenterologist: a prospective observational study of more than 2000 cases. Gastrointest Endosc. 57 (2003) 664-671
10. Yusoff I.F., Raymond G., and Sahai A.V. Endoscopist administered propofol for upper-GI EUS is safe and effective: a prospective study in 500 patients. Gastrointest Endosc. 60 (2004) 356-360
11. Rudner R., Jalowiecki P., Kawecki P., Gonciarz M., Mularczyk A., and Petelenz M. Conscious analgesia/sedation with remifentanil and propofol versus total intravenous ansthesia with fentanyl, midazolam, and propofol for outpatient colonoscopy. Gastrointet Endosc. 35 (2003) 657-663
12. Külling D., Rothenbühler R., and Inauen W. Safety of nonanesthesist sedation with propofol for outpatient colonoscopy and esofhagogastroduodenoscopy. Endoscopy. 35 (2003) 679-682
13. Cohen L.B., Dubovsky A.N., Aisenberg J., and Miller K. Propofol for endoscopic sedation: a protocol for safe and effective administration by the gastroenterologist. Gastrointest Endosc 58 (2003) 725-732
14. Cohen L.B., Hightower Ch.D., Wood D.A., Miller K.M., and Aisenberg J. Moderate leves sedation during endoscopy: a prospective study using low-dose propofol, meperidine/fentanyl, and midazolam. Gastrointest Endosc (2004) 795-803
15. Koshy G., Nair S., Norkus E.P., Hertan H.I., and Pitchumoni C.S. Propofol versus midazolam and meperidine for conscious sedation in GI endoscopy. Am J Gastroenterol 95 (2000) 1476-1479
16. González-Huix F., Aldeguer X., Fort E., Salinas E., Figa M., Hombrados M., et al. Sedation without anesthesiologist in 5250 endoscopic procedures: midazolam vs. midazolam+dolantine vs. propofol. Gastrointest Endosc 59 (2004) 133AB
17. Külling D., Bauerfeind P., Fried M., and Biro P. Patient controlled analgesia and sedation in gastrointestinal endoscoy. Gastrointest Endosc Clin North Am 14 (2004) 353-368
18. Pambianco D., Whitten C., and Moermqan A. Feasibility assessment of computer-assisted personalized sedation: a sedation delivery system to administer propofol for gastrointestinal endoscopy. Am J Gastroenterol 101 Suppl (2006) 509
19. Byrne M.F., and Baillie J. Propofol for conscious sedation?. Gastroenterology 123 (2002) 373-375
20. Gross J.B., Bailey P.L., Connis R.T., et al. Practice guidelines for sedation and analgesia by non-anesthesiologists. Anesthesiology 96 (2002) 1004-1007
21. Külling D., Rlandi M., and Inauen W. Propofol sedation during endoscopic procedures: how much staff and monitoring is necessary?. Gastroinest Endosc 66 (2007) 443-449
22. Rex D.K., Heuss L.T., Walker J.A., and Qi R. Trained registeres nurses/endoscopy teams can administer propofol safely for endoscopy. Gastroenterology 129 (2005) 1384-1391
23. Simon M.A., Bordas J.M., Campo R., González-Huix F., Igea F., and Monés J. Documento de consenso de la Asociación Española de Gastroenterología sobre sedoanalgesia en la endoscopia digestiva. Gastroenterol Hepatol 29 (2006) 131-149
24. Cohen L.B., Delegge M.H., Aisenberg J., Brill J.V., Inadomi J.M., Kochman M.L., et al. AGA Institute review of endoscopic sedation. Gastroenterology 133 (2007) 675-701
25. Conigliaro R., and Rossi A. Implementation of sedation guidelines in clinical practice in Italy: results of a prospective longitudinal multicenter stud. Endoscopy 38 (2006) 1137-1143