Registered nurse-administered sedation for gastrointestinal endoscopic procedure

Somchai Amornyotin
  • World Journal of Gastrointestinal Endoscopy, January 2015, Baishideng Publishing Group Co., Limited (formerly WJG Press)
  • DOI: 10.4253/wjge.v7.i8.769

Registered nurse-administered sedation for gastrointestinal endoscopic procedure

What is it about?

The registered nurse-administered sedation for gastrointestinal endoscopy (GIE) procedures has clinical consequences. Generally, moderate (conscious) sedation for these procedures has been offered by the registered nurses by using benzodiazepines and/or opioids.

Why is it important?

Sedation training courses including clinical skills and knowledge are necessary for the registered nurses to facilitate the patient safety and the successful procedure. However, appropriate patient selection and preparation, adequate monitoring and regular training as well as anesthesiologist consultation in high risk cases and procedures will ensure the use of sedation by registered nurses is a safe and effective technique in GIE procedure.

Perspectives

Somchai Amornyotin
Department of Anesthesiology, Faculty of Medicine Siriraj Hospital, Mahidol University

The rising use of nonanesthesiologist-administered sedation for gastrointestinal endoscopy has clinical significances. Most endoscopic patients require some forms of sedation and/or anesthesia. The goals of this sedation are to guard the patient’s safety, minimize physical discomfort, to control behavior and to diminish psychological responses. Generally, moderate sedation for these procedures has been offered by the nonanesthesiologist by using benzodiazepines and/or opioids. Anesthesiologists and nonanesthesiologist personnel will need to work together for these challenges and for safety of the patients. The sedation training courses including clinical skills and knowledge are necessary for the registered nurses to facilitate the patient safety and the successful procedure. However, appropriate patient selection and preparation, adequate monitoring and regular training will ensure that the use of nurse-administered sedation is a feasible and safe technique for gastrointestinal endoscopic procedures.

Read Publication

http://dx.doi.org/10.4253/wjge.v7.i8.769

The following have contributed to this page: Somchai Amornyotin