Abstract
Propofol sedation for advanced endoscopic procedures is a widespread technique at present, which generates controversy worldwide when anaesthetic or non-anaesthetic personnel administer this form of sedation. There is some evidence for safe administered propofol sedation by non-anaesthetic personnel in patients undergoing endoscopy procedures, but there are only few randomised trials addressing the safety and efficacy of propofol in patients undergoing advanced procedures. A serious possible consequence of propofol sedation is the rapid and unpredictable progression from deep sedation to general anaesthesia mostly when elderly and frail patients are involved in the diagnosis or treatment of various neoplasia. This situation requires rescue measures with skilled airway management. The aim of this paper is to review the safety and efficacy aspects of sedation techniques, with special reference to propofol administration covering the whole patient journey, including preassessment, sedation options and discharge when advanced endoscopic procedures are performed.
Reference62 articles.
1. Development of a national automated endoscopy database: The United Kingdom National Endoscopy Database (
NED
)
2. ASA “Continuum of Depth of Sedation, Definition of General Anaesthesia, and Levels of Sedation/Analgesia”, ASA Standards, Guidelines and Statementshttps://www.asahq.org/standards-and-guidelines/continuum-of-depth-of-sedation-definition-of-general-anesthesia-and-levels-of-sedationanalgesia
3. Position on Monitored Anesthesia Care Last Amended: 17 October 2018 (Original Approval: 25 October 2005)https://www.asahq.org/standards-and-guidelines/continuum-of-depth-of-sedation-definition-of-general-anesthesia-and-levels-of-sedationanalgesia
4. Incidence of Sedation-Related Complications With Propofol Use During Advanced Endoscopic Procedures
5. The risk and safety of anesthesia at remote locations: the US closed claims analysis
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