Year 2018 / Volume 110 / Number 4
Letter to the Editor
Sedation assisted by an endoscopist (SAE) for complex endoscopic procedures. Is it time to change the current guidelines?

261-262

DOI: 10.17235/reed.2018.5537/2018

Pablo Hernán Ocaña,

Abstract
Currently, sedation in endoscopic procedures is considered a necessary condition and a criterion of quality in digestive endoscopy. The role of SAE in conventional endoscopic procedures is clearly established in clinical guidelines, but this is not so clear in complex endoscopic procedures, such as ERCP. In recent years, numerous studies have been published, with results similar to those noticed in this article, endorsing the safety, efficacy and efficiency of SAE, when performed by properly trained staff.
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References
Rex DK, Deenaadyalu VP, Eid E, et al. Endoscopist-directed administration of propofol: a worlwide safety experience. J Gastroenterol 2009. 137(4):1229-37.
2. Riphaus A, Stergiou N, Wehrmann T. Sedation with propofol for routine ERCP in high-risk octogenarians: a randomized, controlled stuy. Am. J. Gastroenterol. 2005; 100(9):1957-63.
3. Perez-Cuadrado Robles E, González-Ramirez A, Lancho-Seco A, 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; 108:240–245.
4. Wehrman T, Riphaus A. Sedation with propofol for interventional endoscopic procedures: A risk factor analysis. Scan J. Gastroenterol. 2009; 43 (3):368-374.
5. Vargo JJ, Bramley T, Meyer K, et al. Practice efficiency and economics: the case for rapid recovery sedation agents for colonoscopy in a screening population. J Clin Gastroenterol 2007; 41:591-8.
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Hernán Ocaña P. Sedation assisted by an endoscopist (SAE) for complex endoscopic procedures. Is it time to change the current guidelines?. 5537/2018


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Publication history

Received: 12/02/2018

Accepted: 15/02/2018

Online First: 19/03/2018

Published: 02/04/2018

Article Online First time: 35 days

Article editing time: 49 days


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