Position Statement: Nonanesthesiologist Administration of Propofol for GI Endoscopy

John J. Vargo, Lawrence B. Cohen, Douglas K. Rex, Paul Y. Kwo

Research output: Contribution to journalArticle

90 Citations (Scopus)

Abstract

1The administration of propofol and standard sedation by nonanesthesiologists is comparable with respect to their efficacy and safety profiles. Proper training and patient selection are crucial for the safe practice of NAAP sedation.2Gastroenterologists and registered nurses in many countries have successfully acquired the skills necessary to safely administer propofol-based sedation. Both didactic and hands-on experience as well as airway training and a preceptorship are currently believed to be important elements of a training program.3Most studies show that NAAP sedation is superior to standard sedation regimens regarding time to sedation and time to recovery. Patient satisfaction with propofol sedation ranges from equivalent to slightly superior when compared to standard sedation.4The use of anesthesiologist-administered propofol for healthy individuals undergoing elective endoscopy without risk factors for sedation-related complications is very costly, with no demonstrated improvement in patient safety or procedural outcome.5Further comparative trials of NAPS and BPS are warranted.

Original languageEnglish (US)
Pages (from-to)2161-2167
Number of pages7
JournalGastroenterology
Volume137
Issue number6
DOIs
StatePublished - Dec 2009

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Propofol
Endoscopy
Preceptorship
Patient Safety
Patient Satisfaction
Patient Selection
Nurses
Safety

ASJC Scopus subject areas

  • Hepatology
  • Gastroenterology

Cite this

Position Statement : Nonanesthesiologist Administration of Propofol for GI Endoscopy. / Vargo, John J.; Cohen, Lawrence B.; Rex, Douglas K.; Kwo, Paul Y.

In: Gastroenterology, Vol. 137, No. 6, 12.2009, p. 2161-2167.

Research output: Contribution to journalArticle

Vargo, John J. ; Cohen, Lawrence B. ; Rex, Douglas K. ; Kwo, Paul Y. / Position Statement : Nonanesthesiologist Administration of Propofol for GI Endoscopy. In: Gastroenterology. 2009 ; Vol. 137, No. 6. pp. 2161-2167.
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