Gut Liver.
2016 Jan;10(1):83-94. 10.5009/gnl15343.
Room for Quality Improvement in Endoscopist-Directed Sedation: Results from the First Nationwide Survey in Korea
- Affiliations
-
- 1Department of Internal Medicine, Kyung Hee University School of Medicine, Seoul, Korea. cklee92@paran.com
- 2Department of Internal Medicine, Korea University College of Medicine, Seoul, Korea.
- 3Department of Internal Medicine, Hallym University College of Medicine, Anyang, Korea.
- 4Department of Internal Medicine, Yonsei University Wonju College of Medicine, Wonju, Korea.
- 5Department of Gastroenterology, University of Ulsan College of Medicine, Seoul, Korea.
- 6Department of Anesthesiology and Pain Medicine, Yonsei University College of Medicine, Seoul, Korea.
- 7Department of Internal Medicine, Soonchunhyang University College of Medicine, Cheonan, Korea.
- 8Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea.
- KMID: 2382348
- DOI: http://doi.org/10.5009/gnl15343
Abstract
- BACKGROUND/AIMS
This study sought to characterize the current sedation practices of Korean endoscopists in real-world settings.
METHODS
All active members of the Korean Society of Gastrointestinal Endoscopy were invited to complete an anonymous 35-item questionnaire.
RESULTS
The overall response rate was 22.7% (1,332/5,860). Propofol-based sedation was the dominant method used in both elective esophagogastroduodenoscopy (55.6%) and colonoscopy (52.6%). The mean satisfaction score for propofol-based sedation was significantly higher than that for standard sedation in both examinations (all p<0.001). The use of propofol was supervised exclusively by endoscopists (98.6%). Endoscopists practicing in nonacademic settings, gastroenterologists, or endoscopists with <10 years of endoscopic practice were more likely to use propofol than were their counterparts (all p<0.001). In total, 27.3% of all respondents performed sedation practices without having undergone sedation training, and 27.4% did so without any formal sedation protocols. The choice of propofol as the dominant sedation method was the only significant predictor of endoscopist experience with serious sedation-related adverse events (odds ratio, 1.854; 95% confidence interval, 1.414 to 2.432).
CONCLUSIONS
Endoscopist-directed propofol administration is the predominant sedation method used in Korea. This survey strongly suggests that there is much room for quality improvement regarding sedation training and patient vigilance in endoscopist-directed sedation.
Keyword
MeSH Terms
-
Adult
Aged
Aged, 80 and over
Colonoscopy/methods/psychology
Conscious Sedation/*methods/psychology/standards
Endoscopy, Digestive System/methods/psychology
Endoscopy, Gastrointestinal/*methods/psychology
Female
Gastroenterology/methods
Humans
Hypnotics and Sedatives
Male
Middle Aged
Patient Satisfaction
Practice Patterns, Physicians'/standards/*statistics & numerical data
Propofol
Quality Improvement
Republic of Korea
Surveys and Questionnaires
Hypnotics and Sedatives
Propofol
- Full Text Links
-
- Actions
-
Cited
- CITED
-
- Close
- Share
-
- Similar articles
-
- Endoscopist-Directed Propofol: Pros and Cons
- Monitored Anesthesia Care and Sedation/Analgesia Outside the Operating Room
- A Nationwide Survey on the Facilities and Personnel for Endoscopic Sedation: Results from 50 Qualified Endoscopy Units of Teaching Hospitals Accredited by the Korean Society of Gastrointestinal Endoscopy (KSGE)
- Update of sedation in view of Joint Commission International standards
- Endoscopist-Driven Sedation Practices in South Korea: Re-evaluation Considering the Nationwide Survey in 2019
