Open AccessPropofol alternatives in gastrointestinal endoscopy anesthesia
Author(s) -
Basavana Gouda Goudra,
Preet Mohinder Singh
Publication year - 2014
Publication title -
saudi journal of anaesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.416
H-Index - 24
eISSN - 1658-354X
pISSN - 0975-3125
DOI - 10.4103/1658-354x.140893
Subject(s) - propofol , medicine , midazolam , fentanyl , sedation , anesthesia , sedative , setback , intensive care medicine , economic shortage , remifentanil , linguistics , philosophy , civil engineering , government (linguistics) , engineering
Although propofol has been the backbone for sedation in gastrointestinal endoscopy, both anesthesiologists and endoscopists are faced with situations where an alternative is needed. Recent national shortages forced many physicians to explore these options. A midazolam and fentanyl combination is the mainstay in this area. However, there are other options. The aim of this review is to explore these options. The future would be, invariably, to move away from propofol. The reason is not in any way related to the drawbacks of propofol as a sedative. The mandate that requires an anesthesia provider to administer propofol has been a setback in many countries. New sedative drugs like Remimazolam might fill this void in the future. In the meantime, it is important to keep an open eye to the existing alternatives.