Endoscopy 2014; 46(08): 720-731
DOI: 10.1055/s-0034-1377561
Guidelines
© Georg Thieme Verlag KG Stuttgart · New York

Sedation for gastrointestinal endoscopy

Clinical practice guidelines of the spanish society of digestive endoscopy
F. Igea
,
J. A. Casellas
,
F. González-Huix
,
C. Gómez-Oliva
,
J. S. Baudet
,
G. Cacho
,
M. A. Simón
,
E. De la Morena
,
A. Lucendo
,
F. Vida
Weitere Informationen

Publikationsverlauf

Publikationsdatum:
25. Juli 2014 (online)

Coordinator: Leopoldo López-Rosés
On behalf of the Spanish Society of Digestive Endoscopy (SEED)

 
  • References

  • 1 López-Rosés L. Guía de sedoanalgesia en endoscopia. Rev Esp Enferm Dig 2006; 98: 685-692
  • 2 Harbour R, Miller J for the Scottish Intercollegiate Guidelines Network Grading Review Group. A new system for grading recommendations in evidence based guidelines. BMJ 2001; 323: 334-336
  • 3 American Society of Anesthesiologists. Distinguishing Monitored Anesthesia Care (“MAC”) from Moderate Sedation/Analgesia (Conscious Sedation). (Approved by the ASA House of Delegates on October 27, 2004). http://www.asahq.org/For-Healthcare-Professionals/Standards-Guidelines-and-Statements.aspx Accessed April 22, 2008
  • 4 American Society for Gastrointestinal Endoscopy. Guidelines for conscious sedation and monitoring during gastrointestinal endoscopy. Gastrointest Endosc 2003; 58: 317-322
  • 5 American Society For Gastrointestinal Endoscopy. Guidelines for the use of deep sedation and anesthesia for GI endoscopy. Gastrointest Endosc 2002; 56: 613-616
  • 6 Carlsson U, Grattidge P. Sedation for upper gastrointestinal endoscopy: a comparative study of propofol and midazolam. Endoscopy 1995; 27: 240-243
  • 7 Patterson KW, Casey PB, Murray JP et al. Propofol sedation for outpatient upper gastroeintestinal endoscopy: comparison with midazolam. Br J Anaesth 1991; 67: 108-11
  • 8 Jung M, Hofmann C, Kiesslich R et al. Improved sedation in diagnostic and therapeutic ERCP: propofol is an alternative to midazolam. Endoscopy 2000; 32: 233-238
  • 9 Wehrmann T, Kokapick S, Lembcke B et al. Efficacy and safety of intravenous propofol sedation for routine ERCP: a prospective controlled study. Gastrointest Endosc 1999; 49: 677-683
  • 10 Vargo JJ, Zuccaro G, Dumot JA et al. Gastroenterologist-administered propofol versus meperidine and midazolam for ERCP and EUS: a randomized, controlled trial with cost effectiveness analysis. Gastroenterology 2002; 123: 8-16
  • 11 Vargo J, De Legge MH, Feld AD et al. Multisociety sedation curriculum for gastrointestinal endoscopy. Gastrointest Endosc 2012; 76: 1-25
  • 12 Dumonceau JM, Riphaus A, Beilenhoff U et al. European Curriculum for Sedation Training in Gastrointestinal Endoscopy: Position Statement of the European Society of Gastrointestinal Endoscopy (ESGE) and European Society of Gastroenterology and Endoscopy Nurses and Associates (ESGENA). Endoscopy 2013; 45: 495-503
  • 13 Communication from the ASGE Training Committee. Training in patient monitoring and sedation and analgesia. Gastrointestl Endosc 2007; 66: 7-10
  • 14 American Society of Anestesthesiologists Task Force on Sedation and Analgesia by Non Anesthesiologists. Practice guidelines for sedation and analgesia by non-anesthesiologists. Anesthesiology 2002; 96: 1004-1017
  • 15 Sedation and anesthesia in GI endoscopy. ASGE Guideline.. Gastrointest Endosc 2008; 68: 815-826
  • 16 López Rosés L. Sedación moderada. En: de la Morena E, Cacho G. Sedación en Endoscopia Digestiva. Madrid: EDIMSA; 2011: 111-118
  • 17 Cohen LB, Delegge MH, Aisenberg J et al. AGA Institute review of endoscopy sedation. Gastroenterology 2007; 133: 675-701
  • 18 Simón MA, Bordas JM, Campo R et al. Documento de consenso de la Asociación Española de Gastroenterología sobre sedoanalgesia en la endoscopia digestiva. Gastroenterol Hepatol 2006; 29: 131-149
  • 19 Robertson DJ, Jacobs DP, Mackenzie TA et al. Clinical trial: a randomized study comparing meperidina (pethidine) and fentanyl in adult gastrointestinal endoscopy. Aliment Pharmacol Ther 2009; 29: 817-823
  • 20 Bo LL, Bai Y, Bian JJ et al. Propofol vs traditional sedative agents for endoscopic retrograde cholangiopancreatography: a meta-analysis. World J Gastroenterol 2011; 17: 3538-3543
  • 21 Qadeer MA, Vargo JJ, Khandwala F et al. Propofol versus traditional sedative agents for gastrointestinal endoscopy: a meta-analysis. Clin Gastroenterol Hepatol 2005; 3: 1049-1056
  • 22 Igea F, Maestro S, Germade A, Ibáñez M, Castillo RS, Geneux KDJ et al. Dosificacion del propofol en infusion continua: validación de una fórmula de uso útil para todos los pacientes. Comunicación a las XXXV Jornadas de la Sociedad Española de Endoscopia Digestiva. Madrid 14 – 16 Noviembre 2013
  • 23 Chun SY, Kim KO, Park DS et al. Safety and efficacy of deep sedation with propofol alone or combined with midazolam administrated by nonanesthesiologist for gastric endoscopic submucosal dissection. Gut Liver 2012; 6: 464-470
  • 24 Julián-Gómez L, Rodríguez-Gómez SJ, Fuentes-Coronel A et al. Ensayo clínico comparando propofol vs propofol más midazolam en endoscopia digestiva alta diagnóstica: resultados preliminares. Endoscopy 2011; 43-40
  • 25 Murphy A, Campbell DE, Baines D et al. Allergic reactions to propofol in egg-allergic children. Anesth Analg 2011; 113: 140-144
  • 26 Dumonceau JM, Riphaus A, Aparicio JR et al. European Society of gastrointestinal Endoscopy, European Society of Gastroenterology and Endoscopy Nurses and Associates, and European Society of Anaesthesiology Guideline: Non-anesthesiologist administration of propofol for GI endoscopy. Endoscopy 2010; 42: 960-974
  • 27 Külling D, Orlandi M, Inauen W. Propofol sedation during endoscopic procedures: how much staff and monitoring are necessary?. Gastrointest Endosc 2007; 66: 443-439
  • 28 Jain R, Ikenberry SO, Anderson MA et al. ASGE Standards of Practice Committee. Minimum staffing requirements for the performance of GI endoscopy. Gastrointest Endosc 2010; 72: 469-470
  • 29 Vargo JJ. DeLegge MH, Feld AD, Gerstenberger PD et al. Multisociety sedation curriculum for gastrointestinal endoscopy. Gastrointest Endosc 2012; 76: e1-e25
  • 30 Ramsay MA, Huddleston P, Hamman B et al. The patient state index correlates well with the Ramsay sedation score in ICU patients. Anesthesiology 2004; 101: A338
  • 31 Gottlieb KT, Banerjee S, Barth BA et al. Monitoring equipment for endoscopy. Gastrointest Endosc 2013; 77: 175-180
  • 32 King CA, Ogg M. Safe injection practices for administration of propofol. AORN J 2012; 95: 365-372
  • 33 Chris JJ, Mulder CJJ, Jacobs MAJ et al. Guidelines for designing a digestive disease endoscopi unit: Report of the World Endoscopy Organization. Dig Endosc 2013; 25: 365-375
  • 34 Lee CK, Lee SH, Chung IK et al. Balanced propofol sedation for therapeutic GI endoscopic procedures: a prospective, randomized study. Gastrointest Endosc 2011; 73: 206-214
  • 35 Sharma VK, Nguyen CC, Crowell MD et al. A national study of cardiopulmonary unplanned events after GI endoscopy. Gastrointest Endosc 2007; 66: 27-34
  • 36 Cohen LB. Patient monitoring during gastrointestinal endoscopy: why, when, and how?. Gastrointest Endosc Clin N Am 2008; 18: 651-663
  • 37 Gonzalez-Huix F, Aldeguer X, Fort E et al. Sedation Without Anesthesiologist in 5250 Endoscopic Procedures: Midazolam vs. Midazolam + Dolantine vs. Propofol. Gastrointestinal Endoscopy 2004; 59: 133
  • 38 Rex DK, Deenadayalu VP, Eid E et al. Endoscopist-directed administration of propofol: a worldwide safety experience. Gastroenterology 2009; 137: 1229-1237 (quiz 518-9)
  • 39 Agostoni M, Fanti L, Gemma M et al. Adverse events during monitored anesthesia care for GI endoscopy: an 8-year experience. Gastrointest Endosc 2011; 74: 266-275
  • 40 Dietrich CG, Kottmann T, Diedrich A et al. Sedation-associated complications in endoscopy are not reduced significantly by implementation of the German S-3-guideline and occur in a severe manner only in patients with ASA class III and higher. Scand J Gastroenterol 2013; 48: 1082-1087
  • 41 Gonzalez-Huix LladoF, Gine GalaJJ, Loras AlastrueyC et al. Position statement of the Catalan Society of Digestology on sedation in gastrointestinal endoscopy. Gastroenterol Hepatol 2012; 35: 496-511
  • 42 Rex DK, Heuss LT, Walker JA et al. Trained registered nurses/endoscopy teams can administer propofol safely for endoscopy. Gastroenterology 2005; 129: 1384-1391
  • 43 Munro J, Booth A, Nicholl J. Routine preoperative testing: a systematic review of the evidence. Health Technol Assessment 1997; 1: 1-62
  • 44 Mallampati SR, Gatt SP, Guigino LD et al. A clinical sign to predict difficult tracheal intubation: a prospective study. Can Anesth Soc J 1985; 32: 429-434
  • 45 Vargo JJ, Cohen LB, Rex DK et al. Position statement: nonanesthesiologist administration of propofol for GI endoscopy. Gastrointest Endosc 2009; 70: 1053-1059
  • 46 Cohen LB, Ladas SD, Vargo JJ et al. Sedation in digestive endoscopy: the Athens internacional position statement. Alimentary Pharmacol Ther 2010; 3: 425-442
  • 47 Vargo J, Cohen LB, Rex DK et al. Position Statement: Nonanesthesiologist Administration of Propofol for GI Endoscopy. Gastroenterology 2009; 137: 2161-2167
  • 48 Ladas SD, Satake Y, Mostafa I et al. Sedation Practices for Gastrointestinal Endoscopy in Europe, North America, Asia, Africa and Australia. Digestion 2010; 82: 74-76
  • 49 Lichtenstein DR, Jagannath S, Baron TH et al. Sedation and anesthesia in GI endoscopy. Standards of Practice Committee. Gastrointest Endosc 2008; 68: 815-826
  • 50 Queshi WA, Rajan E, Adler DG et al. ASGE Guideline: Guidelines for endoscopy in pregnant and lactating women. Gastrointest Endosc 2005; 61: 357-362
  • 51 Aldrete JA. The post-anesthesia recovery score revisited. J Clin Anesth 1995; 7: 89-91
  • 52 Palanisamy A. Maternal anesthesia and fetal neurodevelopment. Int J Obstet Anesth 2012; 21: 152-162
  • 53 Shergill AK, Ben-Menachem T, Chandrasekhara V et al. ASGE Standard of Practice Committee, Guidelines for endoscopy in pregnant and lactating women. Gastrointest Endosc 2012; 76: 18-24
  • 54 Cohen-Kerem R, Railton C, Oren D et al. Pregnancy outcome following non-obstetric surgical intervention. Am J Surg 2005; 190: 467-473
  • 55 Duncan PG, Pope WD, Cohen MM et al. Fetal risk of anesthesia and surgery during pregnancy. Anesthesiology 1986; 64: 790-794
  • 56 Czeizel AE, Pataki T, Rockenbauer M. Reproductive outcome after exposure to surgery under anesthesia during pregnancy. Arch Gynecol Obstet 1998; 261: 193-199
  • 57 Konieczko KM, Chapple JC, Nunn JF. Fetotoxic potential of general anaesthesia in relation to pregnancy. Br J Anaesth 1987; 59: 449-454
  • 58 Higuchi H, Adachi Y, Arimura S et al. Early pregnancy does not reduce the C(50) of propofol for loss of consciousness. Anesth Analg 2001; 93: 1565-1569
  • 59 Sachs HC Committee on drugs. The transfer of drugs and therapeutics into human breast milk: an update on selected topics. Pediatrics 2013; 132: e796-809
  • 60 Nitsun M, Szokol JW, Saleh HJ et al. Pharmacokinetics of midazolam, propofol, and fentanyl transfer to human breast milk. Clin Pharmacol Ther. 2006; 79: 549-557
  • 61 Steer PL, Biddle CJ, Marley WS et al. Concentration of fentanyl in colostrum after an analgesic dose. Can J Anaesth. 1992; 39: 231-235
  • 62 Bar-Oz B, Bulkowstein M, Benyamini L et al. Use of antibiotic and analgesic drugs during lactation. Drug Saf 2003; 26: 925-935
  • 63 Havidich JE, Cravero JP. The current status of procedural sedation for pediatric patients in out-of-operating room locations. Curr Opin Anaesthesiol 2012; 25: 453-460
  • 64 Lalwani K, Michel M. Pediatric sedation in North American children’s hospitals: a survey of anesthesia providers. Paediatr Anaesth 2005; 15: 209-213
  • 65 Doctor K, Roback MG, Teach SJ. An update on pediatric hospital-based sedation. Curr Opin Pediatr 2013; 25: 310-316
  • 66 Couloures KG, Beach M, Cravero JP et al. Impact of provider specialty on pediatric procedural sedation complication rates. Pediatrics 2011; 127: e1154-e1160
  • 67 van Beek EJ, Leroy PL. Safe and effective procedural sedation for gastrointestinal endoscopy in children. J Pediatr Gastroenterol Nutr 2012; 54: 171-185
  • 68 Anderson MA, Baron TH, Banerjee S et al. ASGE standards of practice committee. Modifications in endoscopic practice for pediatric patients. . Gastrointest Endosc 2008; 67: 1-9
  • 69 Disma N, Astuto M, Rizzo G et al. Propofol sedation with fentanyl or midazolam during oesophagogastroduodenoscopy in children. Eur J Anaesth 2005; 22: 848-852
  • 70 Paspatis GA, Charoniti I, Manolaraki M et al. Synergistic sedation with oral midazolam as a premedication and intravenous propofol versus intravenous propofol alone in upper gastrointestinal endoscopies in children: a prospective, randomized study. J Pediatr Gastroenterol Nutr 2006; 43: 195-199
  • 71 Motamed F, Aminpour Y, Hashemian H et al. Midazolam-ketamine combination for moderate sedation in upper GI endoscopy. J Pediatr Gastroenterol Nutr 2012; 54: 422-426
  • 72 Oh JE, Lee HJ, Lee YH. Propofol versus Midazolam for Sedation during Esophagogastroduodenoscopy in Children. Clin Endosc 2013; 46: 368-372
  • 73 Khoshoo V, Thoppil D, Landry L et al. Propofol versus midazolam plus meperidine for sedation during ambulatory esophagogastroduodenoscopy. J Pediatr Gastroenterol Nutr 2003; 37: 146-149
  • 74 Scheiber G, Ribeiro FC, Karpienski H et al. Deep sedation with propofol in preschool children undergoing radiation therapy. Paediatr Anaesth 1996; 6: 209-213
  • 75 Buehrer S, Immoos S, Frei M et al. Evaluation of propofol for repeated prolonged deep sedation in children undergoing proton radiation therapy. Br J Anaesth 2007; 99: 556-560
  • 76 Strauss JM, Giest J. Total intravenous anesthesia. On the way to standard practice in pediatrics. Anaesthesist 2003; 52: 763-777
  • 77 Meining A, Semmler V, Kassem AM et al. The effect of sedation on the quality of upper gastrointestinal endoscopy: an investigator-blinded, randomized study comparing propofol with midazolam. Endoscopy 2007; 39: 345-349
  • 78 Radaelli F, Meucci G, Sgroi G et al. Technical performance of colonoscopy: the key role of sedation/analgesia and other quality indicators. Am J Gastroenterol 2008; 103: 1122-1130
  • 79 Zakko SF, Seifert HA, Gross JB. A comparison of midazolam and diazepam for conscious sedation during colonoscopy in a prospective double-blind study. Gastrointest Endosc 1999; 49: 684-689
  • 80 Baudet JS, Borque P, Borja E et al. Use of sedation in gastrointestinal endoscopy: a nationwide survey in Spain. Eur J Gastroenterol Hepatol 2009; 21: 882-888
  • 81 Dzeletovic I, Harrison ME, Crowell ME et al. Impact of fentanyl in lieu of meperidine on endoscopy unit efficiency: a prospective comparative study in patients undergoing EGD. Gastrointest Endosc 2013; 77: 883-887
  • 82 Koshy G, Nair S, Norkus EP et al. Propofol versus midazolam and meperidine for conscious sedation in GI endoscopy. Am J Gastroenterol 2000; 95: 1476-1479
  • 83 McQuaid KR, Laine L. A systematic review and meta-analysis of randomized, controlled trials of moderate sedation for routine endoscopic procedures. Gastrointest Endosc 2008; 67: 910-923
  • 84 Ley básica reguladora de la autonomía del paciente y de derechos y obligaciones en materia de información y documentación clínica. BOE núm. 274 de 15 de Noviembre de 2002.
  • 85 Guía de Ética Médica de la Organización Médica Colegial de España. Código de Deontología Médica. 2011
  • 86 Constitución Española (1978).
  • 87 Ley de 20 de julio de 1955 sobre enseñanza, títulos y ejercicio de las especialidades médicas.
  • 88 Ley de ordenación de las profesiones sanitarias BOE núm. 280. de 22 de Noviembre de 2003.
  • 89 Real Decreto por el que se regula la formación médica especializada y la obtención del título de Médico Especialista. BOE núm. 26 de 31 de enero de 1984.
  • 90 Real Decreto por el que se determinan y clasifican las especialidades en Ciencias de la Salud. BOE núm. 45, de 21 de febrero de 2008.
  • 91 Sentencias de la Sala de lo Contencioso-Administrativo y de lo Penal del Tribunal Supremo y de la Sala Primera del Tribunal Constitucional.
  • 92 Estatutos Generales de la Organización Médica Colegial de España (2012).
  • 93 Artículo 403 del Código Penal Español (1996).