TY - JOUR
T1 - Sedation and monitoring for gastrointestinal endoscopy
T2 - A nationwide web survey in Italy
AU - Fanti, Lorella
AU - Agostoni, Massimo
AU - Gemma, Marco
AU - Radaelli, Franco
AU - Conigliaro, Rita
AU - Beretta, Luigi
AU - Rossi, Gemma
AU - Guslandi, Mario
AU - Testoni, Pier Alberto
PY - 2011/9
Y1 - 2011/9
N2 - Background: Best strategy of sedation/analgesia in gastrointestinal (GI) endoscopy is still debated. Aims of the study: To evaluate sedation and monitoring practice among Italian gastroenterologists and to assess their opinion about non-anaesthesiologist propofol administration. Methods: A 19-item survey was mailed to all 1192 members of the Italian Society of Digestive Endoscopy (SIED). For each respondent were recorded demographic data, medical specialty, years of practise and practise setting. Results: A total of 494 SIED members returned questionnaires, representing a response rate of 41.4%. The most employed sedation pattern was benzodiazepines for oesophagogastroduodenoscopies (EGDS) in 50.8% of procedures, benzodiazepines plus opioids for colonoscopy and enteroscopy in 39.5% and 35.3% of procedures, respectively, propofol for endoscopic retrograde colangiopancreatography (ERCP) and endoscopic ultrasound (EUS) in 42.3% and 35.6% of procedures, respectively. With regard to propofol use, 66% respondents stated that propofol was exclusively administered by anaesthesiologists. However, 76.9% respondents would consider non-anaesthesiologist propofol administration after appropriate training. Pulse oximetry is the most employed system for procedural monitoring. Supplemental O 2 is routinely administered by 39.3% respondents. Conclusions: Use of sedation has become a standard practise during GI endoscopy in Italy. Pattern varies for each type of procedure. Pulse oximetry is the most employed system of monitoring. Administration of propofol is still directed by anaesthesiologists.
AB - Background: Best strategy of sedation/analgesia in gastrointestinal (GI) endoscopy is still debated. Aims of the study: To evaluate sedation and monitoring practice among Italian gastroenterologists and to assess their opinion about non-anaesthesiologist propofol administration. Methods: A 19-item survey was mailed to all 1192 members of the Italian Society of Digestive Endoscopy (SIED). For each respondent were recorded demographic data, medical specialty, years of practise and practise setting. Results: A total of 494 SIED members returned questionnaires, representing a response rate of 41.4%. The most employed sedation pattern was benzodiazepines for oesophagogastroduodenoscopies (EGDS) in 50.8% of procedures, benzodiazepines plus opioids for colonoscopy and enteroscopy in 39.5% and 35.3% of procedures, respectively, propofol for endoscopic retrograde colangiopancreatography (ERCP) and endoscopic ultrasound (EUS) in 42.3% and 35.6% of procedures, respectively. With regard to propofol use, 66% respondents stated that propofol was exclusively administered by anaesthesiologists. However, 76.9% respondents would consider non-anaesthesiologist propofol administration after appropriate training. Pulse oximetry is the most employed system for procedural monitoring. Supplemental O 2 is routinely administered by 39.3% respondents. Conclusions: Use of sedation has become a standard practise during GI endoscopy in Italy. Pattern varies for each type of procedure. Pulse oximetry is the most employed system of monitoring. Administration of propofol is still directed by anaesthesiologists.
KW - Endoscopic sedation
KW - Gastrointestinal endoscopy
KW - Propofol
KW - Survey
UR - http://www.scopus.com/inward/record.url?scp=79961129407&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=79961129407&partnerID=8YFLogxK
U2 - 10.1016/j.dld.2011.04.012
DO - 10.1016/j.dld.2011.04.012
M3 - Article
C2 - 21640673
AN - SCOPUS:79961129407
VL - 43
SP - 726
EP - 730
JO - Digestive and Liver Disease
JF - Digestive and Liver Disease
SN - 1590-8658
IS - 9
ER -