Sedation in GI endoscopy: a paradigm shift has taken place

We can agree to the letter of Braden and Walsh without any limitation.1

In consideration of the positive security data for the application of propofol by non-anaesthetists in the GI endoscopy, not least also by the ProSed2 study documented, specialised political interests should not have an influence on national guidelines any more.2

While there are extensive positive data for endoscopist/Nurse Administered Propofol Sedation (NAPS)-controlled sedation, this is not valid for the anaesthesia-controlled sedation in GI endoscopy. Hence, no claim or, in particular, none exclusivity on propofol-based sedation for GI endoscopy can be rose by anaesthetists. In addition, in countries in which propofol-based sedation is in the hands of gastroenterologists, the problem insists that the anaesthetist has no or few experiences with the sedation in GI endoscopy.

Undoubtedly also in future every gastroenterologist will examine patients with anatomical conspicuities without sedation or a priori by an anaesthetist escorted. Same is valid for...

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