Efficacy and safety of nurse-administered propofol sedation during emergency upper endoscopy for gastrointestinal bleeding: a prospective study

Tohda, Gen; Higashi, Sotaro; Sakumoto, Hitoshi; Sumiyoshi, Kenichi; Kane, Teruyuki

doi:10.1055/s-2006-925374

Cited by 41 publications

(23 citation statements)

References 15 publications

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“…This results in a low requirement to use sedatives. As more nurses and care providers are trained in administering sedatives, PSA can be safely carried out, which will eventually minimise inpatient hospital charges 4. Shorter recovery times and rapid return to the presedation state will require much less expensive nursing care and a shorter duration of hospitalisation.…”

mentioning

confidence: 99%

The use of propofol for procedural sedation and analgesia in the emergency department: a comparison with midazolam

Rahman

Hashim²

2010

Emergency Medicine Journal

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mentioning

confidence: 99%

The use of propofol for procedural sedation and analgesia in the emergency department: a comparison with midazolam

Rahman

Hashim²

2010

Emergency Medicine Journal

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“…According to studies, the mean of propofol dose capable of causing apnea (1.82 mg.kg -1 ) is greater than the dose mean injected in patients submitted to digestive endoscopies (1.25 mg.kg -1 ) 18 .…”

Section: Discussionmentioning

confidence: 97%

Estudo comparativo entre propofol em nanoemulsão não lipídica com solutol e em emulsão com lecitina

Rodrigues¹,

Alexandrino²,

Kanczuk³

et al. 2012

Rev. Bras. Anestesiol.

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Summary: Rodrigues TA, Alexandrino RA, Kanczuk ME, Gozzani JL, Mathias LAST -A Comparative Study of Non-Lipid Nanoemulsion of Propofol with Solutol and Propofol Emulsion with Lecithin.Background and Objectives: Some formulations have been proposed to reduce the adverse reactions due to the lipid emulsion containing soybean oil used as propofol carrier. This study for endoscopy sedation was aimed at evaluating and comparing the safety, effectiveness and adverse effects of the use of propofol nanoemulsion compared to propofol currently commercialized.

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“…A second-look endoscopy is generally recommended in cases when rebleeding is suspected 13,20,21. Relevant conscious sedation and appropriate use of sedative drugs such as midazolam and propofol during endoscopic hemostasis enhances the success rates and patient's satisfaction 11,22…”

Section: Endoscopic Managementmentioning

confidence: 99%

Endoscopy for Nonvariceal Upper Gastrointestinal Bleeding

2014

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Endoscopy for acute nonvariceal upper gastrointestinal bleeding plays an important role in primary diagnosis and management, particularly with respect to identification of high-risk stigmata lesions and to providing endoscopic hemostasis to reduce the risk of rebleeding and mortality. Early endoscopy, defined as endoscopy within the first 24 hours after presentation, improves patient outcome and reduces the length of hospitalization when compared with delayed endoscopy. Various endoscopic hemostatic methods are available, including injection therapy, mechanical therapy, and thermal coagulation. Either single treatment with mechanical or thermal therapy or a treatment that combines more than one type of therapy are effective and safe for peptic ulcer bleeding. Newly developed methods, such as Hemospray powder and over-the-scope clips, may provide additional options. Appropriate decisions and specific treatment are needed depending upon the conditions.

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Efficacy and safety of nurse-administered propofol sedation during emergency upper endoscopy for gastrointestinal bleeding: a prospective study

Abstract: Using a strict protocol designed to protect the patient's airway and cardiovascular function, nurse-administered propofol sedation during emergency upper gastrointestinal endoscopy is safe and appropriate in cases of acute gastrointestinal bleeding.

Cited by 41 publications

References 15 publications

The use of propofol for procedural sedation and analgesia in the emergency department: a comparison with midazolam

The use of propofol for procedural sedation and analgesia in the emergency department: a comparison with midazolam

Estudo comparativo entre propofol em nanoemulsão não lipídica com solutol e em emulsão com lecitina

Endoscopy for Nonvariceal Upper Gastrointestinal Bleeding

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