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A survey of procedural sedation for pediatric gastrointestinal endoscopy in India

Barath Jagadisan1

  • 1Department of Pediatrics, Jawaharlal Institute of Postgraduate Medical Education and Research, Pondicherry, 605 006, India, barathjag@yahoo.com.

Indian Journal of Gastroenterology : Official Journal of the Indian Society of Gastroenterology
|April 29, 2015
PubMed

Insights

Pediatric gastrointestinal endoscopic procedures in India often involve anesthetists and operating rooms. This highlights a need to assess costs and training for procedural sedation in the region.

Area of Science:

  • Pediatric Gastroenterology
  • Anesthesiology
  • Healthcare Management

Background:

  • Sedation practices for pediatric gastrointestinal endoscopic procedures (PGEP) are not well-documented in India.
  • Practices vary significantly due to infrastructure, personnel, and local protocols.

Purpose of the Study:

  • To survey and understand current sedation practices for PGEP in India.
  • To identify factors influencing sedation and anesthesia involvement.

Main Methods:

  • A web-based survey was distributed via email to members of major Indian pediatric and surgical societies.
  • Data was collected from respondents performing PGEP.

Main Results:

  • 12.1% of PGEP were performed without sedation or anesthesia.
  • Anesthetist involvement was common (two-thirds of cases) and associated with propofol use and operating room utilization (23.1%).
  • Factors like non-teaching hospital setting and easy anesthetist availability correlated with anesthetist involvement.

Conclusions:

  • Indian PGEP frequently involves anesthetists and operating rooms.
  • Further evaluation of PGEP costs and non-anesthetist procedural sedation training is recommended.
Abstract

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