Nurse-administered propofol sedation for gastrointestinal endoscopic procedures: first Nordic results from implementation of a structured training program
| Autor: | Peter Vilmann, Charlotte Slagelse, Teit Mantoni, Pernille Hornslet, Anne Hammering |
|---|---|
| Rok vydání: | 2011 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Sedation MEDLINE Blood Pressure Propofol sedation Endoscopy Gastrointestinal Young Adult Education Nursing Continuing Humans Hypnotics and Sedatives Medicine Prospective Studies Young adult Hypoxia Prospective cohort study Propofol Aged Aged 80 and over medicine.diagnostic_test Norway business.industry Gastroenterology Middle Aged Endoscopy Anesthesia Physical therapy Female Clinical Competence Deep Sedation Hypotension medicine.symptom business Training program medicine.drug |
| Zdroj: | Scandinavian Journal of Gastroenterology. 46:1503-1509 |
| ISSN: | 1502-7708 0036-5521 |
| DOI: | 10.3109/00365521.2011.619274 |
| Popis: | Proper training to improve safety of NAPS (nurse-administered propofol sedation) is essential.To communicate our experience with a training program of NAPS.In 2007, a training program was introduced for endoscopists and endoscopy nurses in collaboration with the Department of Anaesthesiology. During a 2.5-year period, eight nurses were trained. Propofol was given as monotherapy. The training program for nurses consisted of a 6-week course including theoretical and practical training whereas the training program for endoscopists consisted of 2.5 h of theory. Patients were selected based on strict criteria including patients in ASA (American Society of Anesthesiologists) group I-III.2527 patients undergoing 2.656 gastrointestinal endoscopic procedures were included. The patients were ASA group I, II and III in 34.7%, 56% and 9,3%, respectively. Median dose of propofol was 300 mg. No mortality was noted. 119 of 2527 patients developed short lasting hypoxia (4.7%); 61 (2.4%) needed suction; 22 (0.9%) required bag-mask ventilation and 8 (0.3%) procedures had to be discontinued. In 11 patients (0.4%), anesthetic assistance was called due to short lasting desaturation. 34 patients (1.3%) experienced a change in blood pressure greater than 30%.NAPS provided by properly trained nurses according to the present protocol is safe and only associated with a minor risk (short lasting hypoxia 4.7%). National or international structured training programs are at present few or non-existing. The present training program has documented its value and is suggested as the basis for the current development of guidelines. |
| Databáze: | OpenAIRE |
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