Current role of non-anesthesiologist administered propofol sedation in advanced interventional endoscopy.
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.
Daniela Elena Burtea, Adrian Săftoiu, Research Center of Gastroenterology and Hepatology Craiova, University of Medicine and Pharmacy Craiova, 200639 Craiova, Romania.
Daniela Elena
DE
Burtea
Daniela Elena Burtea, Adrian Săftoiu, Research Center of Gastroenterology and Hepatology Craiova, University of Medicine and Pharmacy Craiova, 200639 Craiova, Romania.
Anca
A
Dimitriu
Daniela Elena Burtea, Adrian Săftoiu, Research Center of Gastroenterology and Hepatology Craiova, University of Medicine and Pharmacy Craiova, 200639 Craiova, Romania.
Anca Elena
AE
Maloş
Daniela Elena Burtea, Adrian Săftoiu, Research Center of Gastroenterology and Hepatology Craiova, University of Medicine and Pharmacy Craiova, 200639 Craiova, Romania.
Adrian
A
Săftoiu
Advanced interventional endoscopy; Endoscopic retrograde cholangiopancreatography; Endoscopic ultrasound; Non-anesthesiologist administered propofol sedation