Is the anesthesiologist necessary in the endoscopy suite? A review of patients, payers and safety.
Expert Rev Gastroenterol Hepatol
; 9(7): 883-5, 2015 Jul.
Article
en En
| MEDLINE
| ID: mdl-25979248
ABSTRACT
The use of propofol for sedation during endoscopy has been increasing, particularly given its association with superior patient satisfaction. Propofol sedation may also allow for higher quality endoscopy exams, increased efficiency of endoscopy suites and most particularly, permit better patient compliance with colonoscopy for colorectal cancer screening. However, propofol is typically provided by anesthesia specialists via monitored anesthesia care, and is associated with significant economic burden. Given the increasing use of monitored anesthesia care, which adds significant costs to endoscopy, payers are likely to react with changes in payer policies. One alternative to monitored anesthesia care is non-anesthesiologist administered propofol, which due to safety concerns and a lack of reimbursement has not been widely adopted in the US.
Palabras clave
Texto completo:
1
Base de datos:
MEDLINE
Asunto principal:
Propofol
/
Colonoscopía
/
Anestésicos Intravenosos
/
Seguridad del Paciente
/
Anestesiología
Límite:
Humans
Idioma:
En
Revista:
Expert Rev Gastroenterol Hepatol
Asunto de la revista:
GASTROENTEROLOGIA
Año:
2015
Tipo del documento:
Article
País de afiliación:
Estados Unidos