Clin Endosc.  2019 Sep;52(5):451-457. 10.5946/ce.2019.172.

Updates on the Sedation for Gastrointestinal Endoscopy

• Lee JK
• Lee YJ
• Cho JH
• Im JP
• Park CH
• Jang JY
• Jang BI
• the Quality Management Committee and the Disinfection Management/Conscious Sedation Committee of Korean Society of Gastrointestinal Endoscopy (KSGE)

• KMID: 2464666
• DOI: http://doi.org/10.5946/ce.2019.172

Abstract

Sedation, defined as the depressed level of consciousness, induced by drug administration, is widely used for gastrointestinal endoscopy to relieve a patient's anxiety and discomfort. In addition, successful procedure is anticipated with control of unintended movements. Endoscopic sedation, however, cannot be free from the risk of serious adverse events, e.g., cardiopulmonary compromise. Therefore, principles on personnel, facility and equipment, as well as performance itself, should be followed to prevent unfavorable incidents. In this article, sedation guidelines for the Accreditation of Qualified Endoscopy Units, issued by the Korean Society of Gastrointestinal Endoscopy, are presented.

Keyword

Endoscopic sedation; Monitoring; Oxygenation; Pulse oximetry; Adverse event

MeSH Terms

Accreditation
Anxiety
Consciousness Disorders
Endoscopy
Endoscopy, Gastrointestinal*
Oximetry

Figure

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  Fig. 1. The Mallampati classification. Grade I: soft palate, fauces, uvula, pillars are visible. Grade II: soft palate, fauces, portion of uvula are visible. Grade III: soft palate, base of uvula are visible. Grade IV: only hard palate is visible (Modified from Mallampati et al. [6]).

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