Endoscopist-Driven Sedation Practices in South Korea: Re-evaluation Considering the Nationwide Survey in 2019
Seon-Young Park,
Jun Kyu Lee,
Chang-Hwan Park,
Byung-Wook Kim,
Chang Kyun Lee,
Hong Jun Park,
Byung Ik Jang,
Dong Uk Kim,
Jin Myung Park,
Jae Min Lee,
Young Sin Cho,
Hyung Ku Chon,
Seung Young Seo,
Woo Hyun Paik,
the Committees of Quality Management and Conscious Sedation of Korean Society of Gastrointestinal Endoscopy (KSGE)
Affiliations
Seon-Young Park
Division of Gastroenterology, Department of Internal Medicine, Chonnam National University Medical School, Gwangju, Korea
Jun Kyu Lee
Department of Internal Medicine, Dongguk University Ilsan Hospital, Goyang, Korea
Chang-Hwan Park
Division of Gastroenterology, Department of Internal Medicine, Chonnam National University Medical School, Gwangju, Korea
Byung-Wook Kim
Department of Internal Medicine, Incheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Incheon, Korea
Chang Kyun Lee
Department of Internal Medicine, College of Medicine, Kyung Hee University, Seoul, Korea
Hong Jun Park
Department of Internal Medicine, Yonsei University Wonju College of Medicine, Wonju, Korea
Byung Ik Jang
Department of Internal Medicine, Yeungnam University College of Medicine, Daegu, Korea
Dong Uk Kim
Department of Internal Medicine, Biomedical Research Institute, Pusan National University School of Medicine, Pusan, Korea
Jin Myung Park
Department of Internal Medicine, Kangwon National University School of Medicine, Chuncheon, Korea
Jae Min Lee
Division of Gastroenterology and Hepatology, Department of Internal Medicine, Korea University College of Medicine, Seoul, Korea
Young Sin Cho
Division of Gastroenterology, Soonchunhyang University Cheonan Hospital, Soonchunhyang University College of Medicine, Cheonan, Korea
Hyung Ku Chon
Institute of Wonkwang Medical Science, Wonkwang University Hospital, Wonkwang University College of Medicine, Iksan, Korea
Seung Young Seo
Department of Internal Medicine, Jeonbuk National University Hospital, Jeonbuk National University Medical School, Jeonju, Korea
Woo Hyun Paik
Department of Internal Medicine and Liver Research Institute, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea
the Committees of Quality Management and Conscious Sedation of Korean Society of Gastrointestinal Endoscopy (KSGE)
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.
