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Periprocedural Role of Nurses During Interventional Endoscopic Procedures Under Deep Sedation
E D Burtea1, A Dimitriu1, A E Maloş1
1Research Centre of Gastroenterology and Hepatology, University of Medicine and Pharmacy of Craiova, Romania.
Current Health Sciences Journal
|January 10, 2019
Summary
The endoscopy nurse plays a crucial role in monitoring patients receiving propofol sedation for complex procedures like EUS and ERCP. Their timely assessment and intervention help manage potential side effects, ensuring patient safety and optimal outcomes.
Area of Science:
- Gastroenterology
- Anesthesiology
- Nursing Care
Background:
- Sedation is standard for endoscopic procedures, increasing their number and complexity.
- Endoscopic Ultrasound (EUS) and Endoscopic Retrograde Cholangiopancreatography (ERCP) require higher sedative doses due to their complexity.
- Propofol is the preferred agent for sedation due to its rapid onset and recovery profile.
Observation:
- This study evaluated the role of the endoscopy nurse in peri-procedural care for 110 patients undergoing EUS/ERCP under propofol sedation.
- Nurses provided pre-procedure information and monitored patients for adverse events post-procedure.
- A standardized questionnaire was used to document side effects.
Findings:
- Most patients (81.8%) experienced no adverse events from propofol sedation.
- Minor side effects included drowsiness, nausea, vomiting, dizziness, headache, coughing, injection site reaction, shivers, and bradycardia.
- Patients experiencing side effects were often older with comorbidities, highlighting the need for vigilant monitoring.
Implications:
- The endoscopy nurse is vital in managing patients undergoing complex endoscopic procedures under propofol sedation.
- Nurses' ability to rapidly assess and intervene minimizes risks and prevents serious adverse events.
- Effective peri-procedural nursing care enhances patient safety and procedural success.
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