The third question now being debated is whether or not the endoscopy room requires a third person dedicated exclusively to administering, and as seems to be the trend of the latest evidence and publications, can this be done for short diagnostic procedures endoscopy and colonoscopy by only two people the endoscopist and an assistant who aids in both endoscopic procedures and in sedation with propofol. In the following section I will transcribe the most relevant conclusions from the appropriate, judicious and impartial European Consensus of 2010 which includes and also expands upon and clarifies the findings of the review of evidence conducted and published in the consensus by the American Society for Gastrointestinal Endoscopy ASGE and in 2009 3. In addition, I will include with the level of evidence and the recommendations made for each conclusion, and I will add some feedback regarding this practice in our environment based on our experience of almost ten years of routinely administrating propofol for deep sedation for diagnostic and therapeutic endoscopic procedures in the Department of Gastroenterology and Digestive Endoscopy of the Hospital Central de la Policia which is done by nurses and endoscopists.
Dado lo adecuado, juicioso e imparcial de este consenso europeo del 2010 que incluye, amplía y aclara también las conclusiones de la revisión de la evidencia, realizada por la Sociedad Americana de Endoscopia Gastrointestinal ASGE, y publicadas en su consenso del 2009 3, transcribiré algunas de las conclusiones encontradas, junto con el nivel de evidencia de las mismas, así como las recomendaciones realizadas junto con su nivel de evidencia, y añadiré algunos comentarios en relación con esta práctica en nuestro medio, y con nuestra experiencia de casi diez años administrando rutinariamente propofol para la sedación profunda de procedimientos endoscópicos diagnósticos y terapéuticos en el Servicio de Gastroenterología y Endoscopia Digestiva del Hospital Central de la Policía, por enfermeras y endoscopistas, lo cual ya ha sido parcialmente publicado 4.