Año 2016 / Volumen 108 / Número 11
Carta al Editor
In response to the editorial “Sedation in endoscopy in 2016: Is it safe sedation with propofol led by the endoscopist in complex situations?”

759-760

DOI: 10.17235/reed.2016.4471/2016

Manuel de la Matta,

Resumen
It is universally accepted that deep sedation involves more risks than light-to-moderate sedation. Deep sedation for endoscopic explorations is normally provided by anesthesiologists in Spain and in most countries of the European Unión. The present debate about deep sedation-anesthesia states goes beyond the topic of cardiovascular and respiratory adverse events, and targets the cognitive consequences and global increased mortality of uncontrolled sedation states, especially in specific fragile populations. We consider that strong recomendations for sedative techniques in endoscopic procedures should be made in Spain taking in consideration to two basic principles: 1) according to published evidence concerning patient safety, deep sedation must be an unequivocal responsibility of the anesthesiologist, and 2) we must define which patients are candidates for deep sedation during endoscopic procedures, as this will help to regulate patient flow in clinics and to reduce adverse effects associated with overtreatment of patients.
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Bibliografía
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de la Matta M. In response to the editorial “Sedation in endoscopy in 2016: Is it safe sedation with propofol led by the endoscopist in complex situations?”. 4471/2016


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Recibido: 26/05/2016

Aceptado: 06/06/2016

Prepublicado: 19/10/2016

Publicado: 02/11/2016

Tiempo de prepublicación: 146 días

Tiempo de edición del artículo: 160 días


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