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Nurse-Administered Sedation in Digestive Endoscopy: A Systematic Review
Miriam Hidalgo-Cabanillas1,2, José Alberto Laredo-Aguilera2,3,4, Esperanza Barroso-Corroto2,3,4
1Hospital Universitario de Toledo, 45004 Toledo, Spain.
Nurse-administered sedation for digestive endoscopy is effective and safe, enhancing patient comfort and procedure efficiency. Patients report high satisfaction with this increasingly common nursing practice, noting reduced discomfort and improved procedural quality.
Area of Science:
- Gastroenterology
- Nursing
- Anesthesiology
Background:
- Nurses increasingly administer sedation for digestive endoscopy.
- Sedation quality is measured by efficacy, safety, and patient satisfaction.
Purpose of the Study:
- To synthesize evidence on nurse-administered sedation in digestive endoscopy.
- Evaluate efficacy, safety, and patient satisfaction.
Main Methods:
- Systematic review following PRISMA standards.
- Searched PubMed, Scopus, SciELO, Web of Science, LILACS.
- Used narrative synthesis and descriptive statistics; meta-analysis not feasible.
Main Results:
- 13 studies selected from 292.
- Nurse sedation is effective for patient comfort and procedure times.
- Low complication rates (<2.5%) and high patient satisfaction reported.
Conclusions:
- Nurse-administered sedation is highly effective and safe for digestive endoscopy.
- Propofol sedation by nurses shows low adverse event rates.
- Patients express high satisfaction, reduced discomfort, and improved procedural quality.
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