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Nurse-administered propofol sedation for upper endoscopic ultrasonography: not yet ready for prime time

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From Nature Clinical Practice Gastroenterology & Hepatology

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Abstract

In nurse-administered propofol sedation (NAPS), a nurse working under the supervision of an endoscopist is delegated responsibility for administration of propofol to a patient and monitoring their sedation during endoscopy. Nursing personnel and endoscopists involved in NAPS receive specialized training, and more than 400,000 reported procedures (mostly esophagogastroduodenoscopies and colonoscopies) have used NAPS. The safety record of NAPS is comparable if not superior to that of standard sedation using an opioid and a benzodiazepine. A study by Fatima et al. attempts to expand the breadth of NAPS applications by testing the safety of the procedure in endoscopic ultrasonographies. This commentary discusses the results reported by Fatima et al., and urges clinicians to interpret this study's findings with caution. Further evidence that NAPS can be implemented for endoscopic ultrasonography in settings other than major hospitals with a full complement of services is necessary before its use can be recommended to community-based practices.

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References

  1. Cohen LB et al. (2007) AGA institute review of endoscopic sedation. Gastroenterology 133: 675–701

    Article  CAS  Google Scholar 

  2. Rex DK et al. (2005) Trained registered nurses/endoscopy teams can administer propofol safely for endoscopy. Gastroenterology 129: 1384–1391

    Article  Google Scholar 

  3. Deenadayalu VP et al. (2008) Non-anesthesiologist administered propofol sedation for endoscopic procedures: a worldwide safety review [abstract]. Gastrointest Endosc 67: 107AB

    Article  Google Scholar 

  4. Fatima H et al. (2008) Nurse-administered propofol sedation for upper endoscopic ultrasonography. Am J. Gastroenterol 103: 1649–1656

    Article  CAS  Google Scholar 

  5. Sharma VK et al. (2007) A national study of cardiopulmonary unplanned events after GI endoscopy. Gastrointest Endosc 66: 27–34

    Article  Google Scholar 

  6. Cohen LB et al. (2003) Propofol for endoscopic sedation: a protocol for safe and effective administration by the gastroenterologist. Gastrointest Endosc 58: 725–732

    Article  Google Scholar 

  7. Yusoff IF et al. (2004) Endoscopist administered propofol for upper-GI EUS is safe and effective: a prospective study in 500 patients. Gastrointest Endosc 60: 356–360

    Article  Google Scholar 

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  1. 311 East 79th Street, New York, NY 10075, USA lawrence.cohen@nyga.md

Authors and Affiliations

  1. LB Cohen is Associate Clinical Professor in the Department of Medicine (Gastroenterology) at the Mount Sinai School of Medicine in New York, NY, USA.,

    Lawrence B Cohen

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  1. Lawrence B Cohen
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The author declares no competing financial interests.

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Cohen, L. Nurse-administered propofol sedation for upper endoscopic ultrasonography: not yet ready for prime time. Nat Rev Gastroenterol Hepatol 6, 76–77 (2009). https://doi.org/10.1038/ncpgasthep1332

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  • DOI: https://doi.org/10.1038/ncpgasthep1332

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