Sedation/Analgesia Administration Practice Varies according to Endoscopy Facility (Hospital- or Office-Based) Setting: Results from a Nationwide Survey in Greece
Table 1
Survey responses.
Question
(%)
Preprocedure practices
Informed consent before the endoscopic procedure ()
I inform in writing about the possible complications in detail, and I get written consent from all patients
96 (45.5)
I do not receive written informed consent, but I inform about possible complications in detail, and I get oral consent from all patients
47 (22.3)
I do not receive written informed consent, but I do inform about possible complications in detail, and I receive oral consent from patients undergoing diagnostic procedures
42 (19.9)
I inform in writing about the possible complications in detail, and I get written consent only in high-risk procedures
21 (10.0)
I inform in writing about the possible complications, and I get written consent from all patients for endoscopy without sedation
4 (1.9)
I inform in detail, and I get written consent for the possibility of endoscopy without sedation
1 (0.5)
Endoscopist administering intravenous sedation is familiar with ()
Airway management techniques
183 (86.7)
Oropharyngeal airway management
138 (65.4)
Bag valve mask- (BVM-) Ambu use
177 (83.9)
Endotracheal intubation
49 (23.2)
Basic Life Support (BLS)
105 (49.7)
Advanced Life Support (ALS)
46 (21.8)
Immediate Life Support (ILS)
113 (53.6)
During initial assessment of the patient, endoscopist is familiar with ()
Sedation/anesthesia levels
94 (44.5)
ASA physical status classification system and sedation/anesthesia levels
53 (25.1)
All the above
26 (12.3)
American Society of Anesthesiologists (ASA) physical status classification system
22 (10.4)
The Mallampati score to predict difficult intubation
8 (3.8)
The Mallampati score and sedation/anesthesia levels
6 (2.8)
ASA physical status classification system and the Mallampati score
2 (0.9)
Intraprocedure practices
Monitoring of patient during examination by ()
SaO2 and pulse monitoring
211 (100.0)
Αrterial blood pressure monitoring
108 (51.1)
Electrocardiogram monitoring
44 (20.9)
Capnography monitoring
16 (7.6)
Who is the sedation administrator during endoscopy? ()
At the private office, the endoscopist
59 (28.0)
At the private office, the anesthesiologist
5 (2.4)
At the private clinic, the endoscopist
47 (22.3)
At the private clinic, the anesthesiologist
31 (14.7)
At the public hospital, the endoscopist
63 (29.9)
At the public hospital, the anesthesiologist
6 (2.8)
Postprocedure practices
Patient’s resuscitation is performed ()
Under supervision of the nursing personnel, in most cases
99 (46.9)
Under supervision of the endoscopist, in most cases
92 (43.6)
Under supervision of the anesthesiologist, in most cases
20 (9.5)
Separate resuscitation room
Private office ()
51 (35.2)
Private clinic ()
82 (80.4)
Public clinic ()
54 (58.7)
: number of responses received for each question. Sum is greater than 100% due to multiple possible answers for the question.
