Erschienen in:
01.09.2015 | Editorial
Anesthesiologist-Administered Gastrointestinal Sedation: Time to Put It to Sleep?
verfasst von:
Kilian Friedrich, Wolfgang Stremmel
Erschienen in:
Digestive Diseases and Sciences
|
Ausgabe 9/2015
Einloggen, um Zugang zu erhalten
Excerpt
In the ongoing debate regarding sedation administered during gastrointestinal (GI) endoscopy, supporters of sedation administered by anesthesia providers (AAP) argue that anesthesiologists best handle complications involving the airways. Furthermore, the product label for propofol, the most commonly used sedative for GI endoscopy, states: “it should be administered only by persons trained in the administration of general anesthesia.” Supporters of non-anesthesiologist-administered propofol (NAAP) sedation, specifically nurse-administered propofol administration under the guidance of the endoscopist, argue that the safety profile of NAAP is equivalent to AAP while being cost-effective. For low- and average-risk procedures, overwhelming worldwide data support the hypothesis that NAAP has a comparable safety profile to AAP if sedation is administered after proper training, and according to implemented guidelines [
1]. …
