• Revue médicale suisse · Sep 2010

    [Administration of propofol by non-anesthesiologists for digestive endoscopy].

    • Jean-Marc Dumonceau, Frédérique Hovaguimian, David Bertolini, and Bernard Walder.
    • Service de gastro-entérologie et d'hépatologie, Département de médecine interne, HUG, 1211 Genéve 14. jean-marc.dumonceau@hcuge.ch
    • Rev Med Suisse. 2010 Sep 8;6(261):1638-41.

    AbstractPropofol is progressively replacing benzodiazepines for sedation during endoscopy, even when the sedation is administered by non-anesthesiologists. Propofol ensures a more rapid induction of sedation and recovery and, in certain conditions, higher patient satisfaction and improved quality of endoscopic examination. Specific training is required to use this drug. Patients at risk of complications should be identified before the endoscopy to optimize patient management with an anesthesiologist. After sedation, psychomotor recovery is faster with propofol compared to traditional sedation agents but tasks requiring particular attention (eg, driving) should be avoided. It is important to advise patients of these restrictions in advance.

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