The American Journal of Gastroenterology · 2004 · 10 citations · 0 references
MedicineAnesthesiologySurgeryAnesthesiaAnesthesia NursingPerioperative SafetyAirway ManagementAnesthesia SafetyPatient Safety In AnesthesiaAirway Management MedicationsAnesthetic Drug SafetyMedication Safety In SurgeryPerioperative Medication SafetyPerioperative Patient SafetyPropofol AnesthesiaPropofol UseSafety Profile Characterization
Purpose: To compare the safety of nurse-administered propofol/meperidine to midazolam/meperidine in a community based surgery center. Methods: One calendar year of patients was administered either propofol alone or a combination of meperidine/propofol. This was compared to the previous year in which midazolam and midazolam/meperidine was used. Intensive training of both physicians and nurses was instituted prior to initiation of use of propofol. All doctors and nurses underwent ACLS training; in addition the nursing staff underwent airway management training with a CRNA. The physicians were instructed in the use of propofol by anesthiologists.Table: Comparison of ComplicationsResults: It should be noted that both patient populations were similar in age distribution, sex and procedures done. Conclusions: This study has demonstrated that with proper training of both nurses and physcians the use of propofol/meperidine in a community based surgery center has a safety profile comparable to midazolam/meperidine.