title: Endoscopist-Directed Propofol.
abstract: Endoscopist-directed propofol (EDP) refers to delivery of propofol for endoscopic sedation under the direction of an endoscopist without any involvement of an anesthesia specialist (anesthesiologist or nurse anesthetist). EDP has been proven to be safe and is also cost-effective compared with the anesthetist delivered sedation for endoscopy. EDP has been endorsed by US gastroenterology societies as an appropriate paradigm for clinical practice. EDP has proliferated in Switzerland and Germany, but its expansion in the United States has been limited by financial disincentives, concerns about medical-legal risk for endoscopists, and regulatory obstacles.
authors.affiliation: Indiana University Hospital, Room 4100, 550 North University Boulevard, Indianapolis, IN 46202, USA. Electronic address: drex@iu.edu.
authors.forename: Douglas K
authors.initials: DK
authors.lastname: Rex
mesh_terms: D003113:Colonoscopy; D016292:Procedural Sedation / Q000379:methods*; D054810:Deep Sedation / Q000379:methods*; D016099:Endoscopy, Gastrointestinal / Q000379:methods*; D000072102:Gastroenterologists; D005762:Gastroenterology; D006801:Humans; D006993:Hypnotics and Sedatives / Q000627:therapeutic use*; D015742:Propofol / Q000627:therapeutic use*
chemical_list: D006993:Hypnotics and Sedatives; D015742:Propofol
keywords: Endoscopist-directed propofol; Nurse administered propofol sedation; Propofol; Sedation