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Revista Colombiana de Gastroenterologia

Print version ISSN 0120-9957

Abstract

FORERO PINEROS, Elías Alfonso. Deep sedation for endoscopy not administered by anesthesiologists: The position of an endoscopist in 2011. Rev Col Gastroenterol [online]. 2011, vol.26, n.2, pp.107-116. ISSN 0120-9957.

Deep sedation with propofol for gastrointestinal endoscopy, administered by endoscopists or trained nurses (NAAP - Non-anesthesiologist administration of propofol for GI endoscopy) is positioned to be the best strategy for endoscopic sedation in most patients undergoing this procedure. The overwhelming medical evidence for its use, with more than six hundred thousand cases reported and millions made in the world, together with the extensive legal and ethical debates for over a decade of its increasing use, finished with the initial fears about the adequacy of endoscopist and trained nurses to perform it, and that this practice had illegal or unethical medical elements that could compromise the labor of the endoscopist in case of any complications. With the increasingly widespread use and published evidence in its favor, there are few endoscopists and anesthesiologists with bias and conflict of interest, and they exist due to the lack of knowledge of evidence. Fortunately, the most important anesthesiologists associations in the world today are actively supporting the dissemination of its use and training to endoscopists and nurses who practice it. The discussion now is whether under the new circumstances, it is ethical and good medical procedure that endoscopic procedures are performed without adequate sedation, behavior that even now could be considered inhumane and cruel.

Keywords : Sedation; endoscopy; propofol.

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