European Society of Gastrointestinal Endoscopy, European Society of Gastroenterology and Endoscopy Nurses and Associates, and the European Society of Anaesthesiology Guideline: Non-anaesthesiologist administration of propofol for GI endoscopy

Abstract

Propofol sedation by non-anaesthesiologists is an upcoming sedation regimen in several countries throughout Europe. Numerous studies have shown the efficacy and safety of this sedation regimen in gastrointestinal endoscopy. Nevertheless, this issue remains highly controversial. The aim of this evidence- and consensus-based set of guideline is to provide non-anaesthesiologists with a comprehensive framework for propofol sedation during digestive endoscopy. This guideline results from a collaborative effort from representatives of the European Society of Gastrointestinal Endoscopy (ESGE), the European Society of Gastroenterology and Endoscopy Nurses and Associates (ESGENA) and the European Society of Anaesthesiology (ESA). These three societies have endorsed the present guideline.The guideline is published simultaneously in the Journals Endoscopy and European Journal of Anaesthesiology.

Sexualbezogene Halluzinationen und Träume unter Anästhesie und Sedierung

“…Bisher wird dieser Hinweis auch in den aktuell von der European Society of Anaesthesiology (ESA, [16]) veröffentlich-ten Leitlinien aus 2010 vermisst.…”

A Much Sought-After Drug—Propofol Sedation for GI Endoscopy: Always Better but Who Cares?

“…The December 2010 issue of The European Journal of Anaesthesiology, together with the European Society of Anaesthesiology (ESA), the European Society of Gastrointestinal Endoscopy (ESGE), and the European Society of Gastroenterology and Endoscopy Nurses and Associates (ESGENA), endorsed a joint evidence-and consensus-based set of guidelines on NAAP for gastrointestinal endoscopy. These guidelines were concurrently published in Endoscopy [8]. Publication of these guidelines has resulted in a bitter debate in Europe.…”

“…The same issue of the European Journal of Anaesthesiology correctly hosted a reply to the retraction letter written by J.M. Dumonceau on behalf of the NAAP task force [11]. Dumonceau took a tough position against the retraction, expressing ''astonishment'' about the case and stating that, in the absence of any new scientific evidence contradicting the published guidelines, European gastroenterology societies continued to endorse them.…”

Letters to the Editor Concerning the Article: Alexandre Oliveira Ferreira, Andrea Riphaus. Propofol to Increase Colorectal Cancer Screening in Portugal. Acta Med Port 2014;27:541-42.

“…The European Society of Anesthesiology initially endorsed the use of propofol by non-anesthesia specialists for endoscopy based on evidence review, 4 and then withdrew the endorsement based on non-evidenced based objections from its members. The American Association of Anesthesiologists also has a history of non-evidence based positions with regard to propofol.…”