Sygeplejerskeadministreret propofolsedation i forbindelse med endoskopi
Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
Standard
Sygeplejerskeadministreret propofolsedation i forbindelse med endoskopi. / Vilmann, Peter; Hornslet, Pernille; Simmons, Hanne; Hammering, Anne; Clementsen, Paul.
I: Ugeskrift for læger, Bind 171, Nr. 22, 2009, s. 1840-3.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
Harvard
APA
Vancouver
Author
Bibtex
}
RIS
TY - JOUR
T1 - Sygeplejerskeadministreret propofolsedation i forbindelse med endoskopi
AU - Vilmann, Peter
AU - Hornslet, Pernille
AU - Simmons, Hanne
AU - Hammering, Anne
AU - Clementsen, Paul
N1 - Keywords: Adolescent; Adult; Aged; Anesthetics, Intravenous; Clinical Competence; Conscious Sedation; Education, Nursing, Continuing; Endoscopy, Gastrointestinal; Female; Humans; Hypnotics and Sedatives; Male; Middle Aged; Nurses; Outcome Assessment (Health Care); Propofol; Safety; Young Adult
PY - 2009
Y1 - 2009
N2 - INTRODUCTION: As an increasing number of therapeutic and diagnostic procedures are performed endoscopically, the demand for sufficient sedation during endoscopy is rising. Propofol sedation administered by nurses (NAPS) has gained increasing popularity. NAPS was introduced at Gentofte Hospital in September 2007 after structured training at Roque Valley Surgical Center in Medford, Oregon, USA. The aim of the present study is to present our results with NAPS. MATERIAL AND METHODS: Patients referred for endoscopy were monitored with regard to blood pressure, pulse oxymetry, electrocardiography and evaluation of their respiration during and after the procedure. RESULTS: A total of 229 patients (233 endoscopic procedures) were included (ASA I: 68 (29%), ASA II: 116 (50%), ASA III: 44 (19%), ASA IV: 1 (0.4%)). The median propofol administration was 330 mg (variance 100-1,700 mg). Hypoxia, defined as oxygen < 92%, was observed in 18 patients. The hypoxia lasted less than 30 seconds in eight patients and between 30-60 seconds in eight cases. Two patients had hypoxia for a period exceeding 60 seconds. Propofol administration was discontinued in all 18 cases and increased oxygen flow was administered via a nasal tube. Short lasting manual mask ventilation was instituted in five patients. No serious events related to sedation were seen. CONCLUSIONS: NAPS seem to be a suitable method for sedation in endoscopy and should be implemented in Denmark. However, proper training is required in collaboration with anaesthesiologists. Udgivelsesdato: 2009-May
AB - INTRODUCTION: As an increasing number of therapeutic and diagnostic procedures are performed endoscopically, the demand for sufficient sedation during endoscopy is rising. Propofol sedation administered by nurses (NAPS) has gained increasing popularity. NAPS was introduced at Gentofte Hospital in September 2007 after structured training at Roque Valley Surgical Center in Medford, Oregon, USA. The aim of the present study is to present our results with NAPS. MATERIAL AND METHODS: Patients referred for endoscopy were monitored with regard to blood pressure, pulse oxymetry, electrocardiography and evaluation of their respiration during and after the procedure. RESULTS: A total of 229 patients (233 endoscopic procedures) were included (ASA I: 68 (29%), ASA II: 116 (50%), ASA III: 44 (19%), ASA IV: 1 (0.4%)). The median propofol administration was 330 mg (variance 100-1,700 mg). Hypoxia, defined as oxygen < 92%, was observed in 18 patients. The hypoxia lasted less than 30 seconds in eight patients and between 30-60 seconds in eight cases. Two patients had hypoxia for a period exceeding 60 seconds. Propofol administration was discontinued in all 18 cases and increased oxygen flow was administered via a nasal tube. Short lasting manual mask ventilation was instituted in five patients. No serious events related to sedation were seen. CONCLUSIONS: NAPS seem to be a suitable method for sedation in endoscopy and should be implemented in Denmark. However, proper training is required in collaboration with anaesthesiologists. Udgivelsesdato: 2009-May
M3 - Tidsskriftartikel
C2 - 19486612
VL - 171
SP - 1840
EP - 1843
JO - Ugeskrift for Laeger
JF - Ugeskrift for Laeger
SN - 0041-5782
IS - 22
ER -
ID: 20341392