Why the study?
Does non-anesthesiologist administration of propofol improve patient satisfaction and recovery time without increasing adverse effects compared to traditional sedation in patients undergoing gastrointestinal endoscopy?
Systematic Review
Does non-anesthesiologist administration of propofol improve patient satisfaction and recovery time without increasing adverse effects compared to traditional sedation in patients undergoing gastrointestinal endoscopy?
This consensus guideline provides a comprehensive framework and recommendations for the safe and effective administration of propofol by non-anesthesiologists during gastrointestinal endoscopy.
Answers are grounded in this paper and cite their sources.
Supports non-anesthesiologist propofol sedation in endoscopy; extends prior efficacy data into a consensus European framework.
Propofol sedation by non-anesthesiologists is an upcoming sedation regimen in several countries throughout Europe. Numerous studies have shown the efficacy and safety of this sedation regimen in gastrointestinal endoscopy. Nevertheless, this issue remains highly controversial. The aim of this evidence- and consensus-based set of guideline is to provide non-anesthesiologists with a comprehensive framework for propofol sedation during digestive endoscopy. This guideline results from a collaborative effort from representatives of the European Society of Gastrointestinal Endoscopy (ESGE), the European Society of Gastroenterology and Endoscopy Nurses and Associates (ESGENA) and the European Society of Anaesthesiology (ESA). These three societies have endorsed the present guideline.
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Dumonceau et al. (2010) conducted a systematic review in Gastrointestinal endoscopy. Non-anesthesiologist administration of propofol (NAAP) vs. Traditional sedation was evaluated. Non-anesthesiologist administration of propofol for gastrointestinal endoscopy presents similar rates of adverse effects, provides higher patient satisfaction, and decreases recovery time compared with traditional sedation.
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