Specialist Updates 
Gastroenterology

Endoscopic procedures: Should nurses administer propofol?

Endoscopists from an Australian hospital say guidelines should be changed to allow them to direct nurses to perform sedation
Clare Pain
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17 August 2020
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endoscopy

Sedation using propofol in low-risk patients having endoscopic procedures can be carried out safely by the endoscopist directing a registered nurse to administer the hypnotic, according to doctors from a Queensland hospital.

They say endoscopist-directed nurse-administered propofol sedation (EDNAPS) is supported as being safe and effective by overseas research but is not included in current Australian and New Zealand College of Anaesthetists (ANZCA) sedation guidelines.

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