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Endoscopist-Directed Propofol: Pros and Cons

机译：内镜医师指导的异丙酚：利弊

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摘要

Concerns about the safety of endoscopist-directed propofol (EDP) have been voiced that propofol should be given only by healthcare professionals trained in the administration of general anesthesia. Here we discuss the safety and drawbacks of EDP for routine endoscopic procedures. Currently, both diagnostic and therapeutic endoscopy are well tolerated and accepted by both patients and endoscopists due to the application of sedation in most clinics worldwide. Accordingly, propofol use is increasing in many countries. It is crucial for endoscopists to be very familiar with the use of propofol or a combination of drugs. However, the controversy regarding the administration of sedation by an endoscopist or an anesthesiologist continues. Until now, there have been no randomized control trials comparing sedation induced by propofol administered by an endoscopist or by an anesthesiologist. It might be difficult to perform this kind of study. For the convenience and safety of sedative endoscopy, it would be important that EDP be generally applied to endoscopic procedures, and for more safety, an anesthesiologist may automatically take care of particular patients at high risk of suffering from propofol side effects.
机译：有人对内镜医师指导的异丙酚（EDP）的安全性表示担忧，只能由接受过全身麻醉管理培训的医护人员服用异丙酚。在这里，我们讨论了常规内窥镜检查过程中EDP的安全性和缺点。当前，由于镇静剂在世界范围内大多数诊所中的应用，诊断性和治疗性内窥镜都被患者和内镜医师良好地耐受并接受。因此，在许多国家，异丙酚的使用正在增加。内镜医师必须非常熟悉异丙酚或药物组合的使用。但是，关于内镜医师或麻醉医师实施镇静的争论仍在继续。迄今为止，还没有随机对照试验比较内镜医师或麻醉医师使用异丙酚引起的镇静作用。进行这种研究可能很困难。为了镇静性内窥镜检查的方便和安全，将EDP普遍应用于内窥镜检查过程非常重要，为了提高安全性，麻醉师可能会自动照顾处于丙泊酚副作用高风险中的特定患者。

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