Clin Endosc.  2021 Nov;54(6):843-850. 10.5946/ce.2021.014.

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)

• Park SY
• Lee JK
• Kim JW
• Lee TH
• Park CH
• Jang JY
• Kim BW
• Jang BI
• the Quality management and Endoscopic sedation committee of Korean Society of Gastrointestinal Endoscopy (KSGE)

• KMID: 2522704
• DOI: http://doi.org/10.5946/ce.2021.014

Abstract

Background/Aims
This study aimed to determine the current status of facilities, equipment, and personnel for endoscopic sedation from endoscopy units of representative hospitals in South Korea.
Methods
A questionnaire survey was conducted on 50 qualified endoscopy units accredited by the Korean Society of Gastrointestinal Endoscopy.
Results
All included endoscopy units had regulations and educational programs regarding sedation training for endoscopists and nursing personnel. There present one assisting nurse during endoscopy in 35 units (70%) and at least two nurses in 12 units (24.0%). All endoscopy units had examination rooms equipped with oxygen supply and suction systems. Endoscopist-directed sedation was performed in 48 units (96.0%). Propofol-based sedation was the most used sedation method. All units had a separate recovery bay. The daily number of patients per bed was greater than 10 in 17 units (34.0%). In 26 (52.0%) units, a single nurse cared for ≥10 patients per day. All the units fulfilled the discharge criteria.
Conclusions
This study presents data regarding endoscopic sedation clinical practice in 50 endoscopy units in South Korea. This study presents the current status of endoscopic sedation clinical practice in 50 qualified endoscopy units accredited by the KSGE, which provide excellent quality management.

Keyword

Facility; Gastrointestinal endoscopy; Personnel; Survey

Reference

1. Cho YK. How to Improve the quality of screening endoscopy in Korea: national endoscopy quality improvement program. Clin Endosc. 2016; 49:312–317.

2. Chen R, Liu Y, Song G, et al. Effectiveness of one-time endoscopic screening programme in prevention of upper gastrointestinal cancer in China: a multicentre population-based cohort study. Gut. 2021; 70:251–260.

3. Rex DK, Boland CR, Dominitz JA, et al. Colorectal cancer screening: recommendations for physicians and patients from the U.S. Multi-Society Task Force on colorectal cancer. Am J Gastroenterol. 2017; 112:1016–1030.

4. Săftoiu A, Hassan C, Areia M, et al. Role of gastrointestinal endoscopy in the screening of digestive tract cancers in Europe: European Society of Gastrointestinal Endoscopy (ESGE) Position Statement. Endoscopy. 2020; 52:293–304.

5. ASGE Technology Committee, Lo SK, Fujii-Lau LL, et al. The use of carbon dioxide in gastrointestinal endoscopy. Gastrointest Endosc. 2016; 83:857–865.

6. Mulder CJ, Tan AC, Huibregeste K. Guidelines for designing an endoscopy unit: report of the Dutch Society of Gastroenterologists. Endoscopy. 1997; 29:I–VI.

7. Lee TH, Yoon JY, Paik CN, Choi HS, Jang J-Y. Updates on the facilities, procedures, and performance of the accredited endoscopy unit. Clin Endosc. 2019; 52:431–442.

8. Dumonceau J-M, Riphaus A, Schreiber F, et al. Non-anesthesiologist administration of propofol for gastrointestinal endoscopy: European Society of Gastrointestinal Endoscopy, European Society of Gastroenterology and Endoscopy Nurses and Associates guideline--updated June 2015. Endoscopy. 2015; 47:1175–1189.

9. ASGE Standards of Practice Committee, Early DS, Lightdale JR, et al. Guidelines for sedation and anesthesia in GI endoscopy. Gastrointest Endosc. 2018; 87:327–337.

10. Gotoda T, Akamatsu T, Abe S, et al. Guidelines for sedation in gastroenterological endoscopy (second edition). Dig Endosc. 2021; 33:21–53.

11. Kim J-W, Cho YK, Kim J-O, Jang J-Y. Accredited endoscopy unit program of Korea: overview and qualification. Clin Endosc. 2019; 52:426–430.

12. Lee JK, Lee YJ, Cho JH, et al. Updates on the sedation for gastrointestinal endoscopy. Clin Endosc. 2019; 52:451–457.

13. ASGE Standards of Practice Committee, Early DS, Lightdale JR, et al. Guidelines for sedation and anesthesia in GI endoscopy. Gastrointest Endosc. 2018; 87:327–337.

14. Lee CK, Dong SH, Kim ES, et al. Room for quality improvement in endoscopist-directed sedation: results from the first nationwide survey in Korea. Gut Liver. 2016; 10:83–94.

15. American Association for Study of Liver Diseases; American College of Gastroenterology; American Gastroenterological Association Institute, et al. Multisociety sedation curriculum for gastrointestinal endoscopy. Gastrointest Endosc. 2012; 76:e1–e25.

16. ASGE Ensuring Safety in the Gastrointestinal Endoscopy Unit Task Force, Calderwood AH, Chapman FJ, et al. Guidelines for safety in the gastrointestinal endoscopy unit. Gastrointest Endosc. 2014; 79:363–372.

17. ASGE Standards of Practice Committee, Jain R, Ikenberry SO, et al. Minimum staffing requirements for the performance of GI endoscopy. Gastrointest Endosc. 2010; 72:469–470.

18. Agrawal D, Jain R. Staffing at ambulatory endoscopy centers in the United States: practice, trends, and rationale. Gastroenterol Res Pract. 2018; 2018:9463670.

19. Igea F, Casellas JA, González-Huix F, et al. Sedation for gastrointestinal endoscopy. Endoscopy. 2014; 46:720–731.

20. Kang H, Kim DK, Choi Y-S, Yoo Y-C, Chung HS. Practice guidelines for propofol sedation by non-anesthesiologists: the Korean Society of Anesthesiologists Task Force recommendations on propofol sedation. Korean J Anesthesiol. 2016; 69:545–554.