Considerable Variability of Procedural Sedation and Analgesia Practices for Gastrointestinal Endoscopic Procedures in Europe
Background/Aims: The use of moderate to deep sedation for gastrointestinal endoscopic procedures has increased in Europe considerably. Because this level of sedation is a risky medical procedure, a number of international guidelines have been developed. This survey aims to review if, and if so which...
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| Format: | Article |
| Language: | English |
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Korean Society of Gastrointestinal Endoscopy
2016-01-01
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| Series: | Clinical Endoscopy |
| Subjects: | |
| Online Access: | http://www.e-ce.org/upload/pdf/ce-49-1-47.pdf |
| _version_ | 1797642952282996736 |
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| author | Hermanus H. B. Vaessen Johannes T. A. Knape |
| author_facet | Hermanus H. B. Vaessen Johannes T. A. Knape |
| author_sort | Hermanus H. B. Vaessen |
| collection | DOAJ |
| description | Background/Aims: The use of moderate to deep sedation for gastrointestinal endoscopic procedures has increased in Europe considerably. Because this level of sedation is a risky medical procedure, a number of international guidelines have been developed. This survey aims to review if, and if so which, quality aspects have been included in new sedation practices when compared to traditional uncontrolled sedation practices. Methods: A questionnaire was sent to the National Associations of Nurse Anesthetists in Europe and the National Delegates of the European Section and Board of Anaesthesiology from January 2012 to August 2012. Results: Huge variation in practices for moderate to deep sedation were identified between and within European countries in terms of safety, type of practitioners, responsibilities, monitoring, informed consent, patient satisfaction, complication registration, and training requirements. Seventy-five percent of respondents were not familiar with international sedation guidelines. Safe sedation practices (mainly propofol-based moderate to deep sedation) are rapidly gaining popularity. Conclusions: The risky medical procedure of moderate to deep sedation has become common practice for gastrointestinal endoscopy. Safe sedation practices requiring adequate selection of patients, adequate monitoring, training of sedation practitioners, and adequate after-care, are gaining attention in a field that is in transition from uncontrolled sedation care to controlled sedation care. |
| first_indexed | 2024-03-11T14:08:36Z |
| format | Article |
| id | doaj.art-ce36ba928dab4648908f3813a7d1cd54 |
| institution | Directory Open Access Journal |
| issn | 2234-2400 2234-2443 |
| language | English |
| last_indexed | 2024-03-11T14:08:36Z |
| publishDate | 2016-01-01 |
| publisher | Korean Society of Gastrointestinal Endoscopy |
| record_format | Article |
| series | Clinical Endoscopy |
| spelling | doaj.art-ce36ba928dab4648908f3813a7d1cd542023-11-02T01:14:06ZengKorean Society of Gastrointestinal EndoscopyClinical Endoscopy2234-24002234-24432016-01-01491475510.5946/ce.2016.49.1.476818Considerable Variability of Procedural Sedation and Analgesia Practices for Gastrointestinal Endoscopic Procedures in EuropeHermanus H. B. VaessenJohannes T. A. KnapeBackground/Aims: The use of moderate to deep sedation for gastrointestinal endoscopic procedures has increased in Europe considerably. Because this level of sedation is a risky medical procedure, a number of international guidelines have been developed. This survey aims to review if, and if so which, quality aspects have been included in new sedation practices when compared to traditional uncontrolled sedation practices. Methods: A questionnaire was sent to the National Associations of Nurse Anesthetists in Europe and the National Delegates of the European Section and Board of Anaesthesiology from January 2012 to August 2012. Results: Huge variation in practices for moderate to deep sedation were identified between and within European countries in terms of safety, type of practitioners, responsibilities, monitoring, informed consent, patient satisfaction, complication registration, and training requirements. Seventy-five percent of respondents were not familiar with international sedation guidelines. Safe sedation practices (mainly propofol-based moderate to deep sedation) are rapidly gaining popularity. Conclusions: The risky medical procedure of moderate to deep sedation has become common practice for gastrointestinal endoscopy. Safe sedation practices requiring adequate selection of patients, adequate monitoring, training of sedation practitioners, and adequate after-care, are gaining attention in a field that is in transition from uncontrolled sedation care to controlled sedation care.http://www.e-ce.org/upload/pdf/ce-49-1-47.pdfModerate to deep sedationEndoscopy, gastrointestinalGuidelinePatient safety |
| spellingShingle | Hermanus H. B. Vaessen Johannes T. A. Knape Considerable Variability of Procedural Sedation and Analgesia Practices for Gastrointestinal Endoscopic Procedures in Europe Clinical Endoscopy Moderate to deep sedation Endoscopy, gastrointestinal Guideline Patient safety |
| title | Considerable Variability of Procedural Sedation and Analgesia Practices for Gastrointestinal Endoscopic Procedures in Europe |
| title_full | Considerable Variability of Procedural Sedation and Analgesia Practices for Gastrointestinal Endoscopic Procedures in Europe |
| title_fullStr | Considerable Variability of Procedural Sedation and Analgesia Practices for Gastrointestinal Endoscopic Procedures in Europe |
| title_full_unstemmed | Considerable Variability of Procedural Sedation and Analgesia Practices for Gastrointestinal Endoscopic Procedures in Europe |
| title_short | Considerable Variability of Procedural Sedation and Analgesia Practices for Gastrointestinal Endoscopic Procedures in Europe |
| title_sort | considerable variability of procedural sedation and analgesia practices for gastrointestinal endoscopic procedures in europe |
| topic | Moderate to deep sedation Endoscopy, gastrointestinal Guideline Patient safety |
| url | http://www.e-ce.org/upload/pdf/ce-49-1-47.pdf |
| work_keys_str_mv | AT hermanushbvaessen considerablevariabilityofproceduralsedationandanalgesiapracticesforgastrointestinalendoscopicproceduresineurope AT johannestaknape considerablevariabilityofproceduralsedationandanalgesiapracticesforgastrointestinalendoscopicproceduresineurope |