A Nationwide Survey on the Facilities and Personnel for Endoscopic Sedation: Results from 50 Qualified Endoscopy Units of Teaching Hospitals Accredited by the Korean Society of Gastrointestinal Endoscopy (KSGE)
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Background/Aims: This study aimed to determine the current status of facilities, equipment, and personnel for endoscopic sedationfrom endoscopy units of representative hospitals in South Korea. Methods: A questionnaire survey was conducted on 50 qualified endoscopy units accredited by the Korean Society of GastrointestinalEndoscopy. Results: All included endoscopy units had regulations and educational programs regarding sedation training for endoscopists andnursing personnel. There present one assisting nurse during endoscopy in 35 units (70%) and at least two nurses in 12 units (24.0%). All endoscopy units had examination rooms equipped with oxygen supply and suction systems. Endoscopist-directed sedationwas performed in 48 units (96.0%). Propofol-based sedation was the most used sedation method. All units had a separate recoverybay. The daily number of patients per bed was greater than 10 in 17 units (34.0%). In 26 (52.0%) units, a single nurse cared for ≥10patients per day. All the units fulfilled the discharge criteria. Conclusions: This study presents data regarding endoscopic sedation clinical practice in 50 endoscopy units in South Korea. Thisstudy presents the current status of endoscopic sedation clinical practice in 50 qualified endoscopy units accredited by the KSGE,which provide excellent quality management.
Abstract
Background/Aims: This study aimed to determine the current status of facilities, equipment, and personnel for endoscopic sedationfrom endoscopy units of representative hospitals in South Korea. Methods: A questionnaire survey was conducted on 50 qualified endoscopy units accredited by the Korean Society of GastrointestinalEndoscopy. Results: All included endoscopy units had regulations and educational programs regarding sedation training for endoscopists andnursing personnel. There present one assisting nurse during endoscopy in 35 units (70%) and at least two nurses in 12 units (24.0%). All endoscopy units had examination rooms equipped with oxygen supply and suction systems. Endoscopist-directed sedationwas performed in 48 units (96.0%). Propofol-based sedation was the most used sedation method. All units had a separate recoverybay. The daily number of patients per bed was greater than 10 in 17 units (34.0%). In 26 (52.0%) units, a single nurse cared for ≥10patients per day. All the units fulfilled the discharge criteria. Conclusions: This study presents data regarding endoscopic sedation clinical practice in 50 endoscopy units in South Korea. Thisstudy presents the current status of endoscopic sedation clinical practice in 50 qualified endoscopy units accredited by the KSGE,which provide excellent quality management.
참고문헌 (20)
- 조유경, "How to Improve the Quality of Screening Endoscopy in Korea: National Endoscopy Quality Improvement Program", Clinical Endoscopy, 49(4), pp.312~317 (2016), 대한소화기내시경학회
- Chen R, "Effectiveness of one-time endoscopic screening programme in prevention of upper gastrointestinal cancer in China : a multicentre population-based cohort study", Gut, 70, pp.251~260 (2021)
- Rex DK, "Colorectal cancer screening : recommendations for physicians and patients from the U. S. Multi-Society Task Force on colorectal cancer", Am J Gastroenterol, 112, pp.1016~1030 (2017)
- Săftoiu A, "Role of gastrointestinal endoscopy in the screening of digestive tract cancers in Europe : European Society of Gastrointestinal Endoscopy(ESGE)Position Statement", Endoscopy, 52, pp.293~304 (2020)
- ASGE Technology Committee, "The use of carbon dioxide in gastrointestinal endoscopy", Gastrointest Endosc, 83, pp.857~865 (2016)
- Mulder CJ, "Huibregeste K. Guidelines for designing an endoscopy unit: report of the Dutch Society of Gastroenterologists", Endoscopy, 29, pp.I~VI (1997)
- 이태희, "Updates on the Facilities, Procedures, and Performance of the Accredited Endoscopy Unit", Clinical Endoscopy, 52(5), pp.431~442 (2019), 대한소화기내시경학회[DOI]
- Dumonceau J-M, "Non-anesthesiologist administration of propofol for gastrointestinal endoscopy : European Society of Gastrointestinal Endoscopy, European Society of Gastroenterology and Endoscopy Nurses and Associates guideline--updated June 2015", Endoscopy, 47, pp.1175~1189 (2015)
- ASGE Standards of Practice Committee, "Guidelines for sedation and anesthesia in GI endoscopy", Gastrointest Endosc, 87, pp.327~337 (2018)
- Gotoda T, "Guidelines for sedation in gastroenterological endoscopy(second edition)", Dig Endosc, 33, pp.21~53 (2021)
- 김정욱, "Accredited Endoscopy Unit Program of Korea: Overview and Qualification", Clinical Endoscopy, 52(5), pp.426~430 (2019), 대한소화기내시경학회[DOI]
- Jun Kyu Lee, "Updates on the Sedation for Gastrointestinal Endoscopy", Clinical Endoscopy, 52(5), pp.451~457 (2019), 대한소화기내시경학회[DOI]
- ASGE Standards of Practice Committee, "Guidelines for sedation and anesthesia in GI endoscopy", Gastrointest Endosc, 87, pp.327~337 (2018)
- 이창균, "Room for Quality Improvement in Endoscopist-Directed Sedation: Results from the First Nationwide Survey in Korea", Gut and Liver, 10(1), pp.83~94 (2016), 거트앤리버 소화기연관학회협의회
- American Association for Study of Liver Diseases, "Multisociety sedation curriculum for gastrointestinal endoscopy", Gastrointest Endosc, 76, pp.e1~ (2012)
- ASGE Ensuring Safety in the Gastrointestinal Endoscopy Unit Task Force, "Guidelines for safety in the gastrointestinal endoscopy unit", Gastrointest Endosc, 79, pp.363~372 (2014)
- ASGE Standards of Practice Committee, "Minimum staffing requirements for the performance of GI endoscopy", Gastrointest Endosc, 72, pp.469~470 (2010)
- Agrawal D, "Staffing at ambulatory endoscopy centers in the United States : practice, trends, and rationale", Gastroenterol Res Pract, 2018, pp.9463670~ (2018)
- Igea F, "Sedation for gastrointestinal endoscopy", Endoscopy, 46, pp.720~731 (2014)
- 김덕경, "Practice guidelines for propofol sedation by non-anesthesiologists : the Korean Society of Anesthesiologists Task Force recommendations on propofol sedation", Korean Journal of Anesthesiology, 69(6), pp.545~554 (2016), 대한마취통증의학회