Abstract
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.
Keywords
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New Italian Professional Ethics Code May 2014 www.privacy.it/2014—Nuovo Codice Deontologia Medica.pdf.
DECRETO LEGISLATIVO N. 219, 24 APRILE 2006 art 87 (Gazzetta Ufficiale n. 142 del 21.06.06, Suppl. Ordinario n. 153).
Article info
Publication history
Published online: September 04, 2017
Accepted:
August 24,
2017
Received in revised form:
July 30,
2017
Received:
March 4,
2017
Identification
Copyright
© 2017 Published by Elsevier Ltd on behalf of Editrice Gastroenterologica Italiana S.r.l.
