KMID : 0356920240770010005
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Korean Journal of Anesthesiology 2024 Volume.77 No. 1 p.5 ~ p.30
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Korean clinical practice guidelines for diagnostic and procedural sedation
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Kim Sang-Hyun
Moon Young-Jin Chae Min-Suk Lee Yea-Ji Karm Myong-Hwan Joo Eun-Young Min Jeong-Jin Koo Bon-Nyeo Choi Jeong-Hyun Hwang Jin-Young Yang Yeon-Mi Kwon Min-A Koh Hyun-Jung Kim Jong-Yeop Park Sun-Young Kim Hyun-Jee Chung Yang-Hoon Kim Na-Young Choi Sung-Uk
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Abstract
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Safe and effective sedation depends on various factors, such as the choice of sedatives, sedation techniques used, experience of the sedation provider, degree of sedation-related education and training, equipment and healthcare worker availability, the patient¡¯s underlying diseases, and the procedure being performed. The purpose of these evidence-based multidisciplinary clinical practice guidelines is to ensure the safety and efficacy of sedation, thereby contributing to patient safety and ultimately improving public health. These clinical practice guidelines comprise 15 key questions covering various topics related to the following: the sedation providers; medications and equipment available; appropriate patient selection; anesthesiologist referrals for high-risk patients; pre-sedation fasting; comparison of representative drugs used in adult and pediatric patients; respiratory system, cardiovascular system, and sedation depth monitoring during sedation; management of respiratory complications during pediatric sedation; and discharge criteria. The recommendations in these clinical practice guidelines were systematically developed to assist providers and patients in sedation-related decision making for diagnostic and therapeutic examinations or procedures. Depending on the characteristics of primary, secondary, and tertiary care institutions as well as the clinical needs and limitations, sedation providers at each medical institution may choose to apply the recommendations as they are, modify them appropriately, or reject them completely.
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KEYWORD
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Anesthesiologist, Capnography, , Clinical practice guideline, Fasting, Patient monitoring, Procedural sedation, Recovery
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