Endoscopist-Driven Sedation Practices in South Korea: Re-evaluation Considering the Nationwide Survey in 2019
- Authors
- Park, Seon-Young; Lee, Jun Kyu; Park, Chang-Hwan; Kim, Byung-Wook; Lee, Chang Kyun; Park, Hong Jun; Jang, Byung Ik; Kim, Dong Uk; Park, Jin Myung; Lee, Jae Min; Cho, Young Sin; Chon, Hyung Ku; Seo, Seung Young; Paik, Woo Hyun; Committee of Quality Management, KSGE; Committee of Conscious Sedation, KSGE
- Issue Date
- Nov-2022
- Publisher
- 거트앤리버 발행위원회
- Keywords
- Gastrointestinal endoscopy; Sedation; Survey; Propofol
- Citation
- Gut and Liver, v.16, no.6, pp 899 - 906
- Pages
- 8
- Indexed
- SCIE
SCOPUS
KCI
- Journal Title
- Gut and Liver
- Volume
- 16
- Number
- 6
- Start Page
- 899
- End Page
- 906
- URI
- https://scholarworks.korea.ac.kr/kumedicine/handle/2021.sw.kumedicine/61348
- DOI
- 10.5009/gnl210466
- ISSN
- 1976-2283
2005-1212
- Abstract
- Background/Aims: This study aimed to determine changes in endoscopist-driven sedation practices 5 years after the first nationwide survey in 2014 by the Korean Society of Gastrointestinal Endoscopy (KSGE).
Methods: A 59-item survey covering current practices was electronically mailed to all members of the KSGE in 2019.
Results: In total, 955 (12.8%) out of 7,486 questionnaires were returned. A total of 738 (77.7%) out of 955 respondents attended dedicated sedation education programs. The American Society of Anesthesiologists class was recorded by 464 (51.2%) out of 907 respondents. The recording rate was higher in respondents who completed sedation education (p=0.014) and worked in general or tertiary hospitals (p<0.001). Compared to that reported in the previous survey, the reported use of propofol was higher in 2019. The respondents had higher satisfaction scores for propofol-based sedation compared with midazolam monotherapy (p<0.001). The rates of oxygen supplementation (p<0.001) and oxygen saturation level monitoring (p<0.001) during sedative endoscopy were higher in 2019 than in the previous survey. A total of 876 (98.4%) out of 890 respondents reported a separate recovery bay, and 615 (70.5%) out of 872 respondents reported that personnel were assigned solely to the recovery bay.
Conclusions: Endoscopist-driven sedation and monitoring practices in 2019 were significantly different than those in 2014. The respondents favored propofol-based sedation and utilized oxygen supplementation and monitoring of O2 saturation more frequently in 2019 than in 2014.
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Collections - 2. Clinical Science > Department of Gastroenterology and Hepatology > 1. Journal Articles
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