Time to consider nonphysician anaesthesia providers in Europe?

Life Satisfaction and Work-Related Satisfaction among Anesthesiologists in Poland

“…Stress is caused by the responsibility for providing safe and high quality medical services, dealing with challenging medical situations, and making ethically and therapeutically difficult decisions, which anesthesiologists face every day. Working in the operating theatre, the ICU, making preoperative assessment, treating chronic and acute pain, or working in an emergency department anesthesiologists provide services for as many as 50–60% of hospitalized patients [20, 21]. That is why the proportion of the amount of workload, both with patients and with administrative burden, to leisure time remains unsatisfactory.…”

Guidelines on non-anaesthesiologist administration of propofol for gastrointestinal endoscopy

“…We, therefore, call for a considered, balanced position that will address the heterogeneity and variability of anaesthesia and sedation practices throughout Europe and promote standardisation of training and practice to the benefit of patient care. [5][6][7][8] Not everyone opposed the guidelines and it should be appreciated that some significant changes were incorporated into the final guideline after peer review within the body of the ESA. For example, the ESA stipulated that the ESGE guidelines must pay particular attention to the need to involve anaesthesiologists in the care of patients with important perioperative risk factors.…”

Adult and pediatric anesthesia/sedation for gastrointestinal procedures outside of the operating room

“…Conscious sedation (patient is sedated but answers questions and follows orders) with midazolam and an opioid is usually performed by nonanesthesia personnel [13,14]. Deep sedation with propofol is administered by nonanesthesiologists or anesthesiologists and general anesthesia by anesthesiologists only [13][14][15] Deep sedation and anesthesia is increasingly performed as TIVA or TCI with propofol as single agent or in combination with a small dose of a short-acting opioid such as fentanyl, alfentanil, or remifentanil. During a TIVA or TCI anesthesia, a Bispectral Index (BIS)-monitoring to minimize the occurrence of awareness is recommended.…”