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- Title
Nursing management of deep sedation in digestive endoscopy: a narrative review.
- Authors
MINCIULLO, ANDREA; COLOMBO, BENEDETTA; RENZI, ERIKA; FILOMENO, LUCIA
- Abstract
Background: The "Italian Society of Digestive Endoscopy" (SIED) has published a document in which it reports the possibility of administering Propofol by gastroenterologists and endoscopy nurses adequately trained. In order to ensure the quality and safety of sedation when performed by non-anaesthetist personnel, specific and adequate training is needed to facilitate its correct implementation which must comply with the latest recommendations. The purpose of this study is to verify the effectiveness and safety of deep sedation in endoscopy managed by nurses. Methods: A narrative review of the literature was performed within the main biomedical databases such as MEDLINE, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Scopus, PsycINFO and Cochrane Central Register of Controlled Trials. Results: The review process resulted in a total of 17 articles being eligible: all meeting the inclusion criteria. In the literature, nurse-managed deep sedation appears to be a widespread practice with a considerably high level of safety. For this to be possible, it is necessary for the nurse to be adequately trained and work according to specific protocols. Conclusion: Deep sedation managed by a nurse with advanced skills in digestive endoscopy seems to be a practice that offers a satisfying level of safety, efficacy and efficiency for patients with mild-moderate anaesthetic risk.
- Subjects
NURSING education; CINAHL database; PSYCHOLOGY information storage &; retrieval systems; ANESTHESIA; INFORMATION storage &; retrieval systems; MEDICAL databases; SYSTEMATIC reviews; NURSING services administration; DIGESTIVE system endoscopic surgery; HEALTH outcome assessment; NURSING practice; MEDLINE; DATA analysis software
- Publication
SCENARIO: Official Italian Journal of ANIARTI, 2021, Vol 38, Issue 1, p7
- ISSN
1592-5951
- Publication type
Article