| Autor: |
Godoroja-Diarto D; Department Anaesthesia and Intennsive Care, Ponderas Academic Hospital, 014142 Bucharest, Romania., Constantin A; Department Gastroenterology, Ponderas Academic Hospital, 014142 Bucharest, Romania., Moldovan C; Faculty of Medicine, University Titu Maiorescu, 040441 Bucharest, Romania.; Department of General Surgery, Hospital Clinic CF1 Witting, 010243 Bucharest, Romania., Rusu E; Faculty of Medicine, University Titu Maiorescu, 040441 Bucharest, Romania., Sorbello M; Department Anaesthesia and Intennsive Care, AOU Policlinico San Marco, 95121 Catania, Italy. |
| Abstrakt: |
Propofol sedation for advanced endoscopic procedures is a widespread technique at present, which generates controversy worldwide when anaesthetic or non-anaesthetic personnel administer this form of sedation. There is some evidence for safe administered propofol sedation by non-anaesthetic personnel in patients undergoing endoscopy procedures, but there are only few randomised trials addressing the safety and efficacy of propofol in patients undergoing advanced procedures. A serious possible consequence of propofol sedation is the rapid and unpredictable progression from deep sedation to general anaesthesia mostly when elderly and frail patients are involved in the diagnosis or treatment of various neoplasia. This situation requires rescue measures with skilled airway management. The aim of this paper is to review the safety and efficacy aspects of sedation techniques, with special reference to propofol administration covering the whole patient journey, including preassessment, sedation options and discharge when advanced endoscopic procedures are performed. |
