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KMID : 0614720130560080642
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Journal of Korean Medical Association
2013 Volume.56 No. 8 p.642 ~ p.644
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Concerns about non-anesthesiologists administration of intravenous anesthetics
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Hong Sung-Jin
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Abstract
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Non-anesthesiologist physicians commonly administer intravenous anesthetics for procedural sedation in Korea. However, an analysis of legal suits shows that such procedural sedation is often performed unsafely. Procedural sedation using potent intravenous anesthetics has similar effect as general anesthesia, which means it has a potential for respiratory and cardiac suppression. There is no training program for non-anesthesiologists to obtain the skills for the adequate control of sedation depth and problem solving. This paper urges the Korean Medical Association and affiliated societies to establish a program to teach doctors the proper use of intravenous anesthetics. The program should cover adequate monitoring of patients, airway management, and cardiopulmonary resuscitation. Access to intravenous anesthetics also poses a risk of drug abuse. Doctors and patients should be cautioned about the abuse potential of intravenous anesthetics, and strict control of such drugs is necessary.
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KEYWORD
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Anesthetics, Intravenous, Conscious sedation, Patient safety
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