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Endoscopist-Driven Sedation Practices in South Korea: Re-evaluation Considering the Nationwide Survey in 2019

Authors
Park, Seon-YoungLee, Jun KyuPark, Chang-HwanKim, Byung-WookLee, Chang KyunPark, Hong JunJang, Byung IkKim, Dong UkPark, Jin MyungLee, Jae MinCho, Young SinChon, Hyung KuSeo, Seung YoungPaik, Woo HyunCommittee of Quality Management, KSGECommittee of Conscious Sedation, KSGE
Issue Date
Aug-2022
Publisher
거트앤리버 발행위원회
Keywords
Gastrointestinal endoscopy; Sedation; Survey; Propofol
Citation
Gut and Liver
Indexed
SCIE
SCOPUS
KCI
Journal Title
Gut and Liver
URI
https://scholarworks.korea.ac.kr/kumedicine/handle/2021.sw.kumedicine/61348
DOI
10.5009/gnl210466
ISSN
1976-2283
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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Lee, Jae Min
Anam Hospital (Department of Gastroenterology and Hepatology, Anam Hospital)
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