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KMID : 1188320220160060899
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Gut and Liver
2022 Volume.16 No. 6 p.899 ~ p.906
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Endoscopist-Driven Sedation Practices in South Korea: Re-evaluation Considering the Nationwide Survey in 2019
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Park Seon-Young
Lee Jun-Kyu
Park Chang-Hwan
Kim Byung-Wook
Lee Chang-Kyun
Park Hong-Jun
Jang Byung-Ik
Kim Dong-Uk
Park Jin-Myung
Lee Jae-Min
Cho Young-Sin
Chon Hyung-Ku
Seo Seung-Young
Paik Woo-Hyun
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Abstract
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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.
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KEYWORD
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Gastrointestinal endoscopy, Propofol, Sedation, Survey.
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FullTexts / Linksout information
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Listed journal information
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