NAPS in 2016: why not everywhere?

Riphaus, A.

doi:10.1055/s-0043-101689

Cited by 2 publications

(1 citation statement)

References 27 publications

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“…NAPS is used extensively in several European countries, including Germany, Sweden, and Switzerland. 50 62 Payment models seem to have a marked impact on whether anesthesia-administered propofol or NAPS is used; in countries where separate anesthesia service fees are charged (such as France), anesthesia-administered propofol is the dominant model, whereas in other countries NAPS is more popular. 63 In the United States, NAPS is rarely used.…”

Section: Nurse Administered Propofol Sedationmentioning

confidence: 99%

Sedation for routine gastrointestinal endoscopic procedures: a review on efficacy, safety, efficiency, cost and satisfaction

Lin

2017

Intest Res

101

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Most gastrointestinal endoscopic procedures are now performed with sedation. Moderate sedation using benzodiazepines and opioids continue to be widely used, but propofol sedation is becoming more popular because its unique pharmacokinetic properties make endoscopy almost painless, with a very predictable and rapid recovery process. There is controversy as to whether propofol should be administered only by anesthesia professionals (monitored anesthesia care) or whether properly trained non-anesthesia personnel can use propofol safely via the modalities of nurse-administered propofol sedation, computer-assisted propofol sedation or nurse-administered continuous propofol sedation. The deployment of non-anesthesia administered propofol sedation for low-risk procedures allows for optimal allocation of scarce anesthesia resources, which can be more appropriately used for more complex cases. This can address some of the current shortages in anesthesia provider supply, and can potentially reduce overall health care costs without sacrificing sedation quality. This review will discuss efficacy, safety, efficiency, cost and satisfaction issues with various modes of sedation for non-advanced, non-emergent endoscopic procedures, mainly esophagogastroduodenoscopy and colonoscopy.

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Section: Nurse Administered Propofol Sedationmentioning

confidence: 99%

Sedation for routine gastrointestinal endoscopic procedures: a review on efficacy, safety, efficiency, cost and satisfaction

Lin

2017

Intest Res

101

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Nonoperating room anesthesia for gastrointestinal endoscopic procedures

Lin

Weigel

2018

Current Opinion in Anaesthesiology

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The use of NORA for routine gastrointestinal endoscopic procedures has been rising steadily over the past decade in the United States, considerably increasing healthcare costs. Because of this, there have been attempts to develop nonanesthesiologist-administered propofol sedation methods in low-risk patients. There is controversy as to whether properly trained nonanesthesia personnel can use propofol safely via the modalities of nurse-administered propofol sedation, computer-assisted propofol sedation or nurse-administered continuous propofol sedation SUMMARY: The deployment of nonanesthesia-administered propofol sedation for low-risk procedures allows for optimal allocation of scarce anesthesia resources, which can be more appropriately used for more complex cases. This can address some of the current shortages in anesthesia provider supply, and can potentially reduce overall healthcare costs without sacrificing sedation quality. We also address the realm of anesthesia provider care for advanced endoscopic procedures including setup for administration of anesthesia, decision-making regarding placement of an endotracheal tube, and the potential need to move a challenging case to the operating room.

show abstract

NAPS in 2016: why not everywhere?

Cited by 2 publications

References 27 publications

Sedation for routine gastrointestinal endoscopic procedures: a review on efficacy, safety, efficiency, cost and satisfaction

Sedation for routine gastrointestinal endoscopic procedures: a review on efficacy, safety, efficiency, cost and satisfaction

Nonoperating room anesthesia for gastrointestinal endoscopic procedures

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