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Nurse-Administered Propofol Sedation (NAPS)

Advanced bilingual curriculum on Nurse-Administered Propofol Sedation (NAPS) — the model in which a specifically-trained, credentialed nurse administers propofol under endoscopist supervision for GI procedures, without a dedicated anaesthetist. Covers the safety evidence (5 million+ NAPS cases reported globally), regulatory framework (ESGE NAAP 2021, ASA/ASGE statements, SCFHS), propofol pharmacokinetics and pharmacodynamics, target-controlled vs bolus dosing, adjuncts (low-dose midazolam, fentanyl, ketamine), patient selection and EXCLUSION criteria, intensive monitoring requirements (capnography, BIS, processed EEG optional), rescue protocols including chin lift, jaw thrust, NPA, OPA, BVM, supraglottic device, and the credentialing pathway with simulation, observed cases, ongoing competency review, and outcome registry submission.

Lessons

Hours

CME

Questions

Learning Objectives

Summarise the global safety evidence for NAPS and the ESGE NAAP 2021 framework.

Apply strict patient selection: who qualifies for NAPS, who must have anaesthesia involvement.

Describe propofol pharmacology in depth, including context-sensitive half-time and infusion kinetics.

Titrate propofol safely by bolus or infusion, alone or with adjuncts.

Recognise and rescue propofol-specific complications including apnoea, hypotension, and rare anaphylaxis.

Use airway adjuncts decisively: NPA, OPA, BVM, supraglottic device, with verbal team coordination.

Complete the SGA NAPS credentialing pathway: didactic, simulation, observed cases, competency review, registry submission.

Nurse-Administered Propofol Sedation (NAPS)

Learning Objectives

NAPS — The Evidence and Regulatory Framework

Patient Selection — Who Qualifies for NAPS

Propofol — Deep Pharmacology

NAPS Technique — Titration, Adjuncts & Monitoring

Rescue, Airway & Complication Management in NAPS

NAPS Credentialing, Quality & the SGA Registry