Year 2018 / Volume 110 / Number 4
Editorial
Enhancing the current evidence on endoscopist-directed propofol-based sedation

215-216

DOI: 10.17235/reed.2018.5502/2017

Enrique Pérez-Cuadrado-Robles, Alexandre Ferreira, Jesús García-Cano,

Abstract
During the last years, there is more and more scientific evidence about the safety and feasibility of non-anesthesiologist administration of propofol (NAAP) in gastrointestinal endoscopy, reducing sedation induction and recovery time as well as increasing patient and endoscopist satisfaction. Furthermore, a similar risk of adverse events compared with traditional agents or anesthesiologist administration of propofol (AAP) has been described. The present special issue of the Spanish Journal of Gastroenterology (Revista Española de Enfermedades Digestivas) focusses on NAAP in different settings, including complex endoscopic procedures.
Share Button
New comment
Comments
No comments for this article
References
[1] Dumonceau JM, Riphaus A, Schreiber F et al. Non-anesthesiologist administration of propofol for gastrointestinal endoscopy: European Society of Gastrointestinal Endoscopy, European Society of Gastroenterology and Endoscopy Nurses and Associates Guideline--Updated June 2015. Endoscopy. 2015; 47(12):1175-89. doi: 10.1055/s-0034-1393414.
[2] Cohen LB, Wecsler JS, Gaetano JN et al. Endoscopic sedation in the United States: results from a nationwide survey. Am J Gastroenterol 2006;101:967–974. doi: 10.1111/j.1572-0241.2006.00500.x
[3] Wadhwa V, Issa D, Garg S et al. Similar Risk of Cardiopulmonary Adverse Events Between Propofol and Traditional Anesthesia for Gastrointestinal Endoscopy: A Systematic Review and Meta-analysis. Clin Gastroenterol Hepatol. 2017; 15(2):194-206. doi: 10.1016/j.cgh.2016.07.013.
[4] Vargo JJ, Niklewski PJ, Williams JL et al. Patient safety during sedation by anesthesia professionals during routine upper endoscopy and colonoscopy: an analysis of 1.38 million procedures. Gastrointest Endosc. 2017; 85(1):101-108. doi: 10.1016/j.gie.2016.02.007.
[5] Gouda B, Gouda G, Borle A et al. Safety of non-anesthesia provider administered propofol sedation in non-advanced gastrointestinal endoscopic procedures: A meta-analysis. Saudi J Gastroenterol. 2017 May-Jun;23(3):133-143.DOI: 10.4103/sjg.SJG_501_16
[6] Ferreira AO, Torres J, Barjas E et al. Non-anesthesiologist administration of propofol sedation for colonoscopy is safe in low risk patients: results of a noninferiority randomized controlled trial. Endoscopy. 2016; 48(8):747-53. doi: 10.1055/s-0042-105560.
[7] Tsai HC, Lin YC, Ko CL et al. Propofol versus midazolam for upper gastrointestinal endoscopy in cirrhotic patients: a meta-analysis of randomized controlled trials. PLoS One. 2015;10(2):e0117585. doi: 10.1371/journal.pone.0117585.
[8] Burtea DE, Dimitriu A, Maloş AE et al. Current role of non-anesthesiologist administered propofol sedation in advanced interventional endoscopy. World J Gastrointest Endosc. 2015; 10;7(10):981-6. Doi : 10.4253/wjge.v7.i10.981
[9] Kikuchi H, Hikichi T, Watanabe K et al. Efficacy and safety of sedation during endoscopic submucosal dissection of gastric cancers using a comparative trial of propofol versus midazolam. Endosc Int Open. 2018; 6(1):E51-E57. Doi: 10.1055/s-0043-122225
[10] Sethi S, Wadhwa V, Thaker A et al. Propofol versus traditional sedative agents for advanced endoscopic procedures: a meta-analysis. Dig Endosc. 2014; 26(4):515-24. Doi: 10.1111/den.12219
[11] Goudra BG, Singh PM, Gouda G et al. Safety of Non-anesthesia Provider-Administered Propofol (NAAP) Sedation in Advanced Gastrointestinal Endoscopic Procedures: Comparative Meta-Analysis of Pooled Results. Dig Dis Sci. 2015; 60(9):2612-27. Doi : 10.1007/s10620-015-3608-x
[12] Jensen JT, Hornslet P, Konge L et al. High efficacy with deep nurse-administered propofol sedation for advanced gastroenterologic endoscopic procedures. Endosc Int Open. 2016; 4(1):E107-11. doi: 10.1055/s-0041-107899.
[13] Pérez-Cuadrado Robles E, González Ramírez A, Lancho Seco Á et al. Safety and risk factors for difficult endoscopist-directed ERCP sedation in daily practice: a hospital-based case-control study. Rev Esp Enferm Dig. 2016; 108(5):240-5. Doi : 10.17235/reed.2016.4206/2016
[14] Ikeuchi N, Itoi T, Gotoda T et al. Feasibility of Non-Anesthesiologist-Administered Propofol Sedation for Emergency Endoscopic Retrograde Cholangiopancreatography. Gastroenterol Res Pract. 2015; 2015: 685476. doi: 10.1155/2015/685476
[15] Bo LL, Bai Y, Bian JJ et al. Propofol vs traditional sedative agents for endoscopic retrograde cholangiopancreatography: a meta-analysis. World J Gastroenterol. 2011; 14;17(30):3538-43. Doi: 10.3748/wjg.v17.i30.3538
[16] Mehta PP, Vargo JJ, Dumot JA et al. Does anesthesiologist-directed sedation for ERCP improve deep cannulation and complication rates?. Dig Dis Sci. 2011; 56(7):2185-90. doi: 10.1007/s10620-011-1568-3.
[17] Luzón Solanas L, Ollero Domenche L, Sierra Moros EM et al. Safety of deep sedation with propofol controlled by the endoscopist in endoscopic retrograde cholangiopancreatography (ERCP): prospective study in a tertiary hospital. Rev Esp Enferm Dig. 2018. In press
[18] Coté GA, Hovis RM, Ansstas MA et al. Incidence of sedation-related complications with propofol use during advanced endoscopic procedures. Clin Gastroenterol Hepatol. 2010; 8(2):137-42. doi: 10.1016/j.cgh.2009.07.008.
[19] Yang JF, Farooq P, Zwilling K et al. Efficacy and Safety of Propofol-Mediated Sedation for Outpatient Endoscopic Retrograde Cholangiopancreatography (ERCP). Dig Dis Sci. 2016; 61(6):1686-91. doi: 10.1007/s10620-016-4043-3.
[20] López Rosés L, González Ramírez A, López Baz A et al. Viabilidad de la enteroscopia monobalón realizada bajo sedación dirigida por endoscopista. Rev Esp Enferm Dig. 2018. In press.
[21] Vargo JJ, DeLegge MH, Feld AD et al. Multisociety Sedation Curriculum for Gastrointestinal Endoscopy. Am J Gastroenterol. 2012 May 22. doi: 10.1038/ajg.2012.112.
[22] González-Huix Lladó F. Sedation for endoscopy in 2016 - Is endoscopist-guided sedation safe in complex situations?. Rev Esp Enferm Dig. 2016; 108(5):237-9. doi: 10.17235/reed.2016.4383/2016.
[23] Lucendo AJ, González-Huix F, Tenias JM et al. Gastrointestinal endoscopy sedation and monitoring practices in Spain: a nationwide survey in the year 2014. Endoscopy. 2015; 47(4):383-90. doi: 10.1055/s-0034-1391672.
Related articles

Special Article

Endoscopy and sedation: an inseparable binomial for the gastroenterologist

DOI: 10.17235/reed.2018.5585/2018

Letter to the Editor

Me, the intruder: revisited and rethought

DOI: 10.17235/reed.2018.5575/2018

Letter to the Editor

Propofol sedation Quality and safety. Failure mode and effects analysis.

DOI: 10.17235/reed.2017.4976/2017

Letter to the Editor

Enough discussions about who should use propofol in gastrointestinal endoscopy

DOI: 10.17235/reed.2017.4901/2017

Citation tools
Pérez-Cuadrado-Robles E, Ferreira A, García-Cano J. Enhancing the current evidence on endoscopist-directed propofol-based sedation . 5502/2017


Download to a citation manager

Download the citation for this article by clicking on one of the following citation managers:

Metrics
This article has received 1117 visits.
This article has been downloaded 307 times.

Statistics from Dimensions


Statistics from Plum Analytics

Publication history

Received: 28/01/2018

Accepted: 01/02/2018

Online First: 01/03/2018

Published: 02/04/2018

Article Online First time: 32 days

Article editing time: 64 days


Share
This article has been rated by 2 readers.
Reader rating:
Valora este artículo:




Asociación Española de Ecografía Digestiva Sociedad Española de Endoscopia Digestiva Sociedad Española de Patología Digestiva
The Spanish Journal of Gastroenterology is the official organ of the Sociedad Española de Patología Digestiva, the Sociedad Española de Endoscopia Digestiva and the Asociación Española de Ecografía Digestiva
Cookie policy Privacy Policy Legal Notice © Copyright 2024 y Creative Commons. The Spanish Journal of Gastroenterology