Clinical Endoscopy

The Korean Society of Gastrointestinal Endoscopy (대한소화기내시경학회)
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2021 Korean Society of Gastrointestinal Endoscopy Clinical Practice Guidelines for Endoscopic Sedation

  • Hong Jun Park (Department of Internal Medicine, Yonsei University Wonju College of Medicine) ;
  • Byung-Wook Kim (Department of Internal Medicine, Incheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea) ;
  • Jun Kyu Lee (Department of Internal Medicine, Dongguk University Ilsan Hospital) ;
  • Yehyun Park (Department of Internal Medicine, Ewha Womans University Seoul Hospital) ;
  • Jin Myung Park (Department of Internal Medicine, Kangwon National University School of Medicine, Kangwon National University Hospital) ;
  • Jun Yong Bae (Department of Internal Medicine, Seoul Medical Center) ;
  • Seung Young Seo (Department of Internal Medicine, Jeonbuk National University Hospital) ;
  • Jae Min Lee (Department of Internal Medicine, Korea University Anam Hospital) ;
  • Jee Hyun Lee (Department of Pediatrics, Seoul Metropolitan Children's Hospital) ;
  • Hyung Ku Chon (Department of Internal Medicine, Wonkwang University College of Medicine and Hospital) ;
  • Jun-Won Chung (Department of Internal Medicine, Gachon University, Gil Medical Center) ;
  • Hyun Ho Choi (Department of Internal Medicine, Uijungbu St. Mary's Hospital, College of Medicine, The Catholic University of Korea) ;
  • Myung Ha Kim (Yonsei Wonju Medical Library, Yonsei University Wonju College of Medicine) ;
  • Dong Ah Park (Division of Healthcare Technology Assessment Research, National Evidence-based Healthcare Collaborating Agency) ;
  • Jae Hung Jung (Department of Urology, Yonsei University Wonju College of Medicine/Center of Evidence Based Medicine Institute of Convergence Science) ;
  • Joo Young Cho (Division of Gastroenterology, Department of Internal Medicine, Cha University Gangnam Medical Center) ;
  • Endoscopic Sedation Committee of Korean Society of Gastrointestinal Endoscopy (Korean Society of Gastrointestinal Endoscopy)
  • Received : 2021.11.15
  • Accepted : 2021.12.13
  • Published : 2022.03.30
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Abstract

Sedation can resolve anxiety and fear in patients undergoing endoscopy. The use of sedatives has increased in Korea. Appropriate sedation is a state in which the patient feels subjectively comfortable while maintaining the airway reflex for stable spontaneous breathing. The patient should maintain a state of consciousness to the extent that he or she can cooperate with the needs of the medical staff. Despite its benefits, endoscopic sedation has been associated with cardiopulmonary complications. Cardiopulmonary complications are usually temporary. Most patients recover without sequelae. However, they may progress to serious complications, such as cardiovascular collapse. Therefore, it is essential to screen high-risk patients before sedation and reduce complications by meticulous monitoring. Additionally, physicians should be familiar with the management of emergencies. The first Korean clinical practice guideline for endoscopic sedation was developed based on previous worldwide guidelines for endoscopic sedation using an adaptation process. The guideline consists of nine recommendations based on a critical review of currently available data and expert consensus when the guideline was drafted. These guidelines should provide clinicians, nurses, medical school students, and policy makers with information on how to perform endoscopic sedation with minimal risk.

Keywords

Acknowledgement

Any costs for literature searching, conferences, and other statistical activities were covered by a research fund provided by the KSGE. The KSGE supported the development of these guidelines.

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