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Safety of propofol sedation directed by endoscopists: how long should we continue to generate evidence?

José Carlos Marín-Gabriel1, Pilar Martínez-Montiel1

  • 1Servicio de Medicina de Aparato Digestivo, Hospital Universitario 12 de Octubre, España.

Revista Espanola De Enfermedades Digestivas
|March 27, 2018
PubMed

Insights

Endoscopists can safely administer propofol, with a low 0.13% adverse event rate in over 33,000 sedations. This challenges anesthesiologists' claims and supports collaborative patient care.

Area of Science:

  • Gastroenterology
  • Anesthesiology
  • Medical Economics

Background:

  • Ongoing conflict exists between endoscopists and anesthesiology societies regarding propofol administration.
  • This friction appears driven by economic interests rather than scientific evidence.

Purpose of the Study:

  • To evaluate the safety and efficacy of propofol administration by endoscopists.
  • To provide evidence to address the conflict between medical specialties regarding sedation practices.

Main Methods:

  • Analysis of a large cohort of over 33,000 sedation procedures.
  • Data collection on cardiorespiratory adverse events during propofol-induced sedation by endoscopists.

Main Results:

  • A low frequency of 0.13% for cardiorespiratory adverse events was observed.
  • The study demonstrates a high safety profile for propofol when administered by trained endoscopists.

Conclusions:

  • Propofol sedation administered by endoscopists is associated with a low rate of adverse events.
  • Collaboration between anesthesiologists, endoscopists, and nurses is recommended for optimal patient outcomes, moving beyond inter-specialty conflicts.

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