• Gastrointest. Endosc. Clin. N. Am. · Jul 2016

    Review

    Endoscopist-Directed Propofol.

    • Douglas K Rex.
    • Indiana University Hospital, Room 4100, 550 North University Boulevard, Indianapolis, IN 46202, USA. Electronic address: drex@iu.edu.
    • Gastrointest. Endosc. Clin. N. Am. 2016 Jul 1; 26 (3): 485-92.

    AbstractEndoscopist-directed propofol (EDP) refers to delivery of propofol for endoscopic sedation under the direction of an endoscopist without any involvement of an anesthesia specialist (anesthesiologist or nurse anesthetist). EDP has been proven to be safe and is also cost-effective compared with the anesthetist delivered sedation for endoscopy. EDP has been endorsed by US gastroenterology societies as an appropriate paradigm for clinical practice. EDP has proliferated in Switzerland and Germany, but its expansion in the United States has been limited by financial disincentives, concerns about medical-legal risk for endoscopists, and regulatory obstacles.Copyright © 2016 Elsevier Inc. All rights reserved.

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