Endoscopist-Driven Sedation Practices in South Korea:Re-evaluation Considering the Nationwide Survey in 2019
- Author:
Seon-Young PARK
1
;
Jun Kyu LEE
;
Chang-Hwan PARK
;
Byung-Wook KIM
;
Chang Kyun LEE
;
Hong Jun PARK
;
Byung Ik JANG
;
Dong Uk KIM
;
Jin Myung PARK
;
Jae Min LEE
;
Young Sin CHO
;
Hyung Ku CHON
;
Seung Young SEO
;
Woo Hyun PAIK
;
The Committees of Quality Management and Conscious Sedation of Korean Society of Gastrointestinal En
Author Information
- Publication Type:Original Article
- From:Gut and Liver 2022;16(6):899-906
- CountryRepublic of Korea
- Language:English
-
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.
