Gastroenterology and Digestive Endoscopy Unit, Ospedale S. Agostino-Estense Hospital/Hospital-University Institution, Modena, Italy.
Division of Gastroenterology and Gastrointestinal Endoscopy, Vita-Salute San Raffaele, University-Scientific Institute San Raffaele, Milan, Italy.
Dig Liver Dis. 2017 Nov;49(11):1185-1190. doi: 10.1016/j.dld.2017.08.038. Epub 2017 Sep 5.
Propofol sedation by non-anesthesiologists in GI endoscopy, despite generally considered a safe procedure, is still a matter of debate. Benefits of propofol sedation include rapid onset of action, greater patient comfort and fast recovery with prompt discharge from the endoscopy unit. The use of propofol for sedation in GI endoscopy, preceded by dedicated training courses, has been approved by several anaesthesiologist and gastroenterologist societies but an Italian position paper taking into account the Italian law is lacking. In the present document, the Italian Society of Digestive Endoscopy (SIED) Sedation Group, on behalf of the SIED, presents a series of updated position statements concerning propofol sedation in GI endoscopy. The paper summarizes the advantages of propofol, how it should be administered and how patients should be monitored. Moreover, details concerning proper training of non-anaesthesiologist personnel involved in its use are provided. Protocols concerning propofol use s must be shared with the hospital's anaesthesiology staff and approved by the hospital's Executive Director.
尽管非麻醉医师在胃肠内镜检查中使用异丙酚镇静通常被认为是安全的，但这仍然是一个有争议的问题。异丙酚镇静的好处包括起效迅速、患者舒适度更高以及内镜检查后迅速出院。在专门的培训课程之前，许多麻醉医师和胃肠病学家协会已经批准了在胃肠内镜检查中使用异丙酚镇静，但缺乏一份考虑到意大利法律的意大利立场文件。在本文件中，意大利消化内镜学会（SIED）镇静小组代表 SIED 提出了一系列关于胃肠内镜检查中异丙酚镇静的更新立场声明。本文总结了异丙酚的优点、如何使用以及如何监测患者。此外，还提供了有关涉及使用异丙酚的非麻醉医师人员进行适当培训的详细信息。必须与医院的麻醉科工作人员共享有关异丙酚使用的方案，并获得医院执行主任的批准。
