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Sedasys
- Thread starter okayplayer
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Interesting. Would like to see the actual papers.
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Dumb
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What a terrible comparison-propofol vs. control group with benzos and opioids. Wow-I wonder why patients would be more satisfied in the propofol group. Hey kids: Get ready for some CK's out there (Clean Kills) by the Robocop machine.
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I love the article...
"In other words, the system aims to replace anesthesiologists and CRNAs with computerized technology to administer propofol and to monitor minimal-to-moderate sedation in patients undergoing upper and lower endoscopies."
But....
" the company will offer the SEDASYS System to facilities where an anesthesia professional is immediately available for assistance or consultation"
So physicians who work in GI suites lose their jobs to a robot but they are suppose to accept the liability associated with their "assistance or consultation" aka SHTF situations? Nice.
"In other words, the system aims to replace anesthesiologists and CRNAs with computerized technology to administer propofol and to monitor minimal-to-moderate sedation in patients undergoing upper and lower endoscopies."
But....
" the company will offer the SEDASYS System to facilities where an anesthesia professional is immediately available for assistance or consultation"
So physicians who work in GI suites lose their jobs to a robot but they are suppose to accept the liability associated with their "assistance or consultation" aka SHTF situations? Nice.
D
deleted126335
Based on the above, It is a potential win for endo suites that are within a hospital. Anesthesia is immediately available via code coverage. You don't have to pay an anesthesiologist or CRNA salary for that.
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If I was supervising CRNAs, the addition of this piece of equipment wouldn't make me feel any more or less comfortable with a CRNA in the room. CRNAs do a fine job titrating propofol drips. I can't imagine a circumstance in which this device would be needed, useful, or desired if a CRNA or AA or anesthesiologist was at the bedside already.
Titrating a propofol drip is not what makes anesthesia hard or dangerous.
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pgg is correct.
This contraption is down right IDIOTIC. This is why this specialty SUX because people dont even understand what it is we do until death or brain death enesues on a healthy patient.
Even the name of the contraption is wrong. We dont use PROPOFOL for sedation. If you want sedation use other drugs. We use propofol FOR general anesthesia not sedation.
This contraption is down right IDIOTIC. This is why this specialty SUX because people dont even understand what it is we do until death or brain death enesues on a healthy patient.
Even the name of the contraption is wrong. We dont use PROPOFOL for sedation. If you want sedation use other drugs. We use propofol FOR general anesthesia not sedation.
Propofol can and is used for sedation in many cases. Of course you can use other drugs for sedation, but let it be understood that proposal drips are used for sedation in many cases. The above comment is foolish. I'm not an anesthesiologist, so please correct me if Im wrong. We use low dose propofol at 50-75 all the time in our surgery center
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Which cases?
In our center, the GI guys use propofol drips in all cscopes (they always have anesthesiologists to titrate those drips, no CRNAs). We occasionally will do urethral dilation for stricture for patients who do not tolerate the procedure with just lidocaine jelly in the office. The OMFS guys usually use benzos and some gas for wisdom teeth but I've seen them use propofol as well.
If I am wrong in calling this sedation please let me know. The patients are always spontaneously breathing and arousable. No ETT or LMA ever. Just an IV with the white stuff
If I am wrong in calling this sedation please let me know. The patients are always spontaneously breathing and arousable. No ETT or LMA ever. Just an IV with the white stuff
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You mean the GU guys....??
Call it what you want,(MAC, Moderate Sedation etc etc) but you really have to be past a certain point to do it for an extended period of time. For the colonoscopy and endoscopy they have to be "OUT" completely with NO lid reflex with propofol. If they do, it wont be comfortable case for YOU or the proceduralist. If you use sub anesthetic (sedation) doses most (not all) patients will be dis inhibited and will be squirming all over the table because those are the properties of the drug...... This contraption (sedasys) cannot judge that at all.
Our anesthesiologists keep the patients in twilight during flex cysto, colonoscopies, etc. patients occasionally shift around a little bit but are definitely not out, like you are referring. Different styles I guess, 100s of ways to have a successful anesthetic I suppose
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You're completely right, of course, that there are many safe and effective ways to sedate a patient for a procedure.
Levels of sedation and anesthesia have specific definitions (pdf), and the difference between "conscious sedation" / anxiolysis, moderate sedation, and deep sedation is not whether or not the patient shifts around a bit to painful stimulation. "Twilight" anesthesia is a media term that can mean many things.
