医学
镇静
奇纳
异丙酚
麻醉护士
梅德林
患者安全
协议(科学)
护理部
麻醉
医疗保健
替代医学
病理
政治学
心理干预
法学
经济
经济增长
作者
Andrea Minciullo,Lucia Filomeno
出处
期刊:Gastroenterology Nursing
[Ovid Technologies (Wolters Kluwer)]
日期:2023-11-08
卷期号:47 (1): 33-40
被引量:1
标识
DOI:10.1097/sga.0000000000000780
摘要
Although efficacy and safety of nonanesthesiologist administration of propofol and nurse-administered propofol sedation practices have been amply demonstrated in patients at low American Society of Anesthesiologists physical status risk, they are still severely limited. To date, it is quite difficult to find a protocol or a shared training program. The aim of the study was to verify requirements, types of training, and operating methods described in the literature for the administration of propofol by a nurse. A scoping review of the literature was conducted in accordance with the PRISMA-ScR guidelines and in line with Arksey and O'Malley's framework, within four main databases of biomedical interest: MEDLINE, CINAHL, Scopus, and Web of Science. We selected studies published during the last 20 years, including only nurses not trained in anesthesia. Seventeen articles were eligible. Despite the differences between the training and administration methods, efficacy and safety of deep sedation managed by trained nurses were comparable, just like when sedation was administered by certified registered nurse anesthetists. Training programs have been investigated in detail by only a small number of studies, although its efficacy and safety have been widely demonstrated. It is important, then, to collect evidence that allows developing of unified international guidelines for training methods to offer safe and cost-effective quality sedation.
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