Considerable variability of procedural sedation and analgesia practices for gastrointestinal endoscopic procedures in Europe

Hermanus H B Vaessen*, Johannes T A Knape

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

1 Citation (Scopus)

Abstract

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.

Original languageEnglish
Pages (from-to)47-55
Number of pages9
JournalClinical Endoscopy
Volume49
Issue number1
DOIs
Publication statusPublished - 1 Jan 2016

Keywords

  • Endoscopy
  • Gastrointestinal
  • Guideline
  • Moderate to deep sedation
  • Patient safety

Fingerprint

Dive into the research topics of 'Considerable variability of procedural sedation and analgesia practices for gastrointestinal endoscopic procedures in Europe'. Together they form a unique fingerprint.

Cite this