Nonoperating room anesthesia for gastrointestinal endoscopic procedures

Current Opinion in Anaesthesiology
Otto S Lin, Wade Weigel

Abstract

To assess the trends in nonoperating room anesthesia (NORA) for gastrointestinal endoscopy over the past few years, and to describe alternative methods of delivering propofol sedation in selected low-risk patients. The use of NORA for routine gastrointestinal endoscopic procedures has been rising steadily over the past decade in the United States, considerably increasing healthcare costs. Because of this, there have been attempts to develop nonanesthesiologist-administered propofol sedation methods in low-risk patients. There is controversy as to whether properly trained nonanesthesia personnel can use propofol safely via the modalities of nurse-administered propofol sedation, computer-assisted propofol sedation or nurse-administered continuous propofol sedation SUMMARY: The deployment of nonanesthesia-administered propofol sedation for low-risk procedures allows for optimal allocation of scarce anesthesia resources, which can be more appropriately used for more complex cases. This can address some of the current shortages in anesthesia provider supply, and can potentially reduce overall healthcare costs without sacrificing sedation quality. We also address the realm of anesthesia provider care for advanced endoscopic procedure...Continue Reading

References

Nov 8, 2005·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Mohammed A QadeerGregory Zuccaro
Apr 3, 2007·The American Journal of Gastroenterology·James AisenbergJoseph D Piorkowski
Jun 25, 2009·Gastroenterology·Douglas K RexNizam Meah
Apr 1, 2011·Digestive and Liver Disease : Official Journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver·Laurent PoinclouxGilles Bommelaer
Jul 26, 2011·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Vijay S KhianiCary P Gross
Mar 23, 2012·JAMA : the Journal of the American Medical Association·Hangsheng LiuSoeren Mattke
Mar 13, 2013·JAMA Internal Medicine·Gregory S CooperDouglas K Rex
Dec 29, 2015·Gastroenterology·Karen J WernliJohn M Inadomi
Mar 1, 2016·Gastroenterology·Douglas K Rex, John J Vargo
Apr 8, 2016·Current Opinion in Anaesthesiology·Preet Mohinder SinghBasavana G Goudra
Dec 18, 2016·Gastrointestinal Endoscopy·Alessandro Repici, Cesare Hassan
Mar 21, 2017·Endoscopy International Open·Andrea Riphaus
May 20, 2017·World Journal of Gastroenterology : WJG·Otto S LinAndrew Ross

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Methods Mentioned

BETA
sedation
gastric bypass

Software Mentioned

NORA
SEDASYS

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