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Korean clinical practice guidelines for diagnostic and procedural sedationopen access

Authors
Kim, Sang-HyunMoon, Young-JinChae, Min SukLee, Yea-JiKarm, Myong-HwanJoo, Eun-YoungMin, Jeong-JinKoo, Bon-NyeoChoi, Jeong-HyunHwang, Jin-YoungYang, YeonmiKwon, Min A.Koh, Hyun JungKim, Jong YeopPark, Sun YoungKim, HyunjeeChung, Yang-HoonKim, Na YoungChoi, Sung Uk
Issue Date
Feb-2024
Publisher
KOREAN SOC ANESTHESIOLOGISTS
Keywords
Anesthesiologist; Capnography; Clinical practice guideline; Fasting; Patient monitoring; Procedural sedation; Recovery
Citation
KOREAN JOURNAL OF ANESTHESIOLOGY, v.77, no.1, pp 5 - 30
Pages
26
Journal Title
KOREAN JOURNAL OF ANESTHESIOLOGY
Volume
77
Number
1
Start Page
5
End Page
30
URI
https://scholarworks.bwise.kr/sch/handle/2021.sw.sch/26353
DOI
10.4097/kja.23745
ISSN
2005-6419
2005-7563
Abstract
Safe and effective sedation depends on various factors, such as the choice of sedatives, sedation techniques used, experience of the sedation provider, degree of sedation -related education and training, equipment and healthcare worker availability, the patient's underlying diseases, and the procedure being performed. The purpose of these evidence -based multidisciplinary clinical practice guidelines is to ensure the safety and efficacy of sedation, thereby contributing to patient safety and ultimately improving public health. These clinical practice guidelines comprise 15 key questions covering various topics related to the following: the sedation providers; medications and equipment available; appropriate patient selection; anesthesiologist referrals for high -risk patients; pre -sedation fasting; comparison of representative drugs used in adult and pediatric patients; respiratory system, cardiovascular system, and sedation depth monitoring during sedation; management of respiratory complications during pediatric sedation; and discharge criteria. The recommendations in these clinical practice guidelines were systematically developed to assist providers and patients in sedation -related decision making for diagnostic and therapeutic examinations or procedures. Depending on the characteristics of primary, secondary, and tertiary care institutions as well as the clinical needs and limitations, sedation providers at each medical institution may choose to apply the recommendations as they are, modify them appropriately, or reject them completely.
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