Nurse-administered propofol sedation without anesthesia specialists in 9152 endoscopic cases in an ambulatory surgery center

John A. Walker, Robert D. McIntyre, Paul F. Schleinitz, Kris N. Jacobson, Anthony A. Haulk, Peter Adesman, Shelley Tolleson, Robyn Parent, Rosie Donnelly, Douglas Rex

Research output: Contribution to journalArticle

162 Citations (Scopus)

Abstract

OBJECTIVE: Narcotics and benzodiazepines are commonly used for sedation for endoscopy in the United States. Propofol has certain advantages over narcotics and benzodiazepines, but its use is often controlled by anesthesia specialists. This report describes our experience with dosage, safety, patient satisfaction, and discharge time with nurse-administered propofol sedation in 9152 endoscopic cases. METHODS: The study was performed in a private practice ambulatory surgery center in Medford, Oregon. With the assistance of an anesthesiologist, we developed a protocol for administration of propofol in routine endoscopic cases, in which propofol was given by registered nurses under the supervision of endoscopists or gastroenterologists. We then applied the protocol with 9152 patients. RESULTS: There were seven cases of respiratory compromise (three prolonged apnea, three laryngospasm, one aspiration requiring hospitalization), all associated with upper endoscopy. Five patients required mask ventilation, but none required endotracheal intubation. There were seven colonic perforations (

Original languageEnglish (US)
Pages (from-to)1744-1750
Number of pages7
JournalAmerican Journal of Gastroenterology
Volume98
Issue number8
DOIs
StatePublished - Aug 1 2003
Externally publishedYes

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Propofol
Ambulatory Surgical Procedures
Anesthesia
Nurses
Narcotics
Benzodiazepines
Endoscopy
Laryngismus
Intratracheal Intubation
Patient Discharge
Private Practice
Apnea
Masks
Patient Satisfaction
Hospitalization
Safety

ASJC Scopus subject areas

  • Gastroenterology

Cite this

Nurse-administered propofol sedation without anesthesia specialists in 9152 endoscopic cases in an ambulatory surgery center. / Walker, John A.; McIntyre, Robert D.; Schleinitz, Paul F.; Jacobson, Kris N.; Haulk, Anthony A.; Adesman, Peter; Tolleson, Shelley; Parent, Robyn; Donnelly, Rosie; Rex, Douglas.

In: American Journal of Gastroenterology, Vol. 98, No. 8, 01.08.2003, p. 1744-1750.

Research output: Contribution to journalArticle

Walker, JA, McIntyre, RD, Schleinitz, PF, Jacobson, KN, Haulk, AA, Adesman, P, Tolleson, S, Parent, R, Donnelly, R & Rex, D 2003, 'Nurse-administered propofol sedation without anesthesia specialists in 9152 endoscopic cases in an ambulatory surgery center', American Journal of Gastroenterology, vol. 98, no. 8, pp. 1744-1750. https://doi.org/10.1111/j.1572-0241.2003.07605.x
Walker, John A. ; McIntyre, Robert D. ; Schleinitz, Paul F. ; Jacobson, Kris N. ; Haulk, Anthony A. ; Adesman, Peter ; Tolleson, Shelley ; Parent, Robyn ; Donnelly, Rosie ; Rex, Douglas. / Nurse-administered propofol sedation without anesthesia specialists in 9152 endoscopic cases in an ambulatory surgery center. In: American Journal of Gastroenterology. 2003 ; Vol. 98, No. 8. pp. 1744-1750.
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