Endoscopic sedation and monitoring practices in Portugal: a nationwide web-based survey.

Abstract:

BACKGROUND:National surveys have been used to obtain information on sedation and monitoring practices in endoscopy in several countries. AIMS:To provide data from Portugal and query the Portuguese endoscopists on nonanesthesiologist administration of propofol. MATERIALS AND METHODS:A 31-item web survey was sent to all 490 members of the Portuguese Society of Gastroenterology. RESULTS:A total of 129 members (26%) completed the questionnaire; 57% worked in both public and private practice. Most performed esophagogastroduodenoscopy without sedation (public - 70%; private - 57%) and colonoscopies with sedation (public - 64%; private - 69%). Propofol was the most commonly used agent for colonoscopy, especially in private practice (52 vs. 33%), and it provided the best satisfaction (mean 9.6/10). A total of 94% chose propofol as the preferred sedation for routine colonoscopy. Nonanesthesiologist administration of propofol was performed only by four respondents; however, 71% reported that they would consider its use, given adequate training. Pulse oximetry is monitored routinely (99%); oxygen supplementation is administered by 81% with propofol and 42% with traditional sedation. Most (82%) believed that propofol sedation may increase the uptake of endoscopic screening for colorectal cancer. CONCLUSION:The use of sedation is routine practice in colonoscopy, but not esophagogastroduodenoscopy. The preferred agent is propofol and it is used almost exclusively by anesthesiologists.

authors

Ferreira AO,Torres J,Dinis-Ribeiro M,Cravo M

doi

10.1097/MEG.0000000000000245

subject

Has Abstract

pub_date

2015-03-01 00:00:00

pages

265-70

issue

3

eissn

0954-691X

issn

1473-5687

pii

00042737-201503000-00013

journal_volume

27

pub_type

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