Midway sedation list for endoscopy

Status Active
Programme Innovation Time Awards
Partners Betsi Cadwaladr University Health Board

Project Lead(s)

Daniel Marshall

Daniel Marshall

Consultant Nurse Endoscopist, Betsi Cadwaladr University Health Board

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Elinor Thomas

Elinor Thomas

Medical Matron, Betsi Cadwaladr University Health Board

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Having experienced cancer diagnosis within my own immediate family I am acutely aware of the need for a timely diagnosis and treatment plan and how this can impact both patient and family experiences during an emotional and difficult time.

Daniel Marshall ― Consultant Nurse Endoscopist

Endoscopies are mostly performed in day-case endoscopy units under conscious sedation. Conscious sedation provides a high level of patient and physician satisfaction with low adverse effects and associated higher procedural completion rates.

However, some patients do not tolerate endoscopic procedures under conscious sedation and subsequently undergo endoscopy under general anaesthesia in a surgical operating theatre. These patients often have longer waiting times which can have implications around diagnostic times and onward treatment.

This project will see the introduction of an anaesthetist led propofol list every month. Implementing this service will add and complement the current service offered to suspected cancer and cancer patients, providing patient choice to treatment options therefore empowering the patient early on in their treatment journey .

Unlike endoscopy under general anaesthesia, sedation via propofol will mean the procedure can be performed within the endoscopy unit, and is likely to result in a shorter recovery time for patients.

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