Guidelines on non-anaesthesiologist administration of propofol for gastrointestinal endoscopy

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

“…Even the cited consensus statement only mentions the FDA approval as sole argument for this view [19]. In a commentary of anesthesiologists from national societies who did not participate in this statement, the statement itself is marked as populist and fundamentalist [20].…”

Einfluss der 3-Tages-Sedierungs-Kurse auf die tägliche Arbeit in Kliniken und Praxen - Ergebnis einer bundesweiten Umfrage

“…In der Zusammenschau aller Ergebnisse zeigt unsere Umfrage, dass sich seit Einführung einer doch auch heftig kritisierten und diskutierten Leitlinie [30,31] viele Strukturen und Prozesse im Sinne der S3-Leitlinie verbessert haben. Dass gerade auch im Rahmen begrenzter Möglichkeiten durchaus Optimierungen möglich sind, zeigt bspw.…”

Reply to Pelosi

“…And, as noted in the ESA retraction of their endorsement [1], "Following evaluation of the scientific evidence by the ESA guidelines committee, the Board of Directors of the ESA decided unanimously to endorse the report." We are astonished that the ESA endorsement of the Guideline was withdrawn for political reasons and not on the basis on new evidence that contradicted the Guideline [6]. We understand that there are two strands of opinion in the ESA, one supporting and the other opposing the Guideline [6].…”

“…We are astonished that the ESA endorsement of the Guideline was withdrawn for political reasons and not on the basis on new evidence that contradicted the Guideline [6]. We understand that there are two strands of opinion in the ESA, one supporting and the other opposing the Guideline [6]. Endorsement of a guideline should be retracted if new evidence appears that contradicts the Guideline.…”