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Gut Liver. 2016 Jan;10(1):83-94. doi: 10.5009/gnl15343.

Room for Quality Improvement in Endoscopist-Directed Sedation: Results from the First Nationwide Survey in Korea.

Author information

1
Department of Internal Medicine, Kyung Hee University School of Medicine, Seoul, Korea.
2
Department of Internal Medicine, Korea University College of Medicine, Seoul, Korea.
3
Department of Internal Medicine, Hallym University College of Medicine, Anyang, Korea.
4
Department of Internal Medicine, Yonsei University Wonju College of Medicine, Wonju, Korea.
5
Department of Gastroenterology, University of Ulsan College of Medicine, Korea.
6
Department of Anesthesiology and Pain Medicine, Yonsei University College of Medicine, Seoul, Korea.
7
Department of Internal Medicine, Soonchunhyang University College of Medicine, Cheonan, Korea.
8
Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea.

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.

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.

KEYWORDS:

Gastrointestinal endoscopy; Health; Sedation

PMID:
26696030
PMCID:
PMC4694739
DOI:
10.5009/gnl15343
[Indexed for MEDLINE]
Free PMC Article

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