[The Monitored Anesthesia Care in Gastrointestinal Endoscopy--Current Situation in Japan]

Area of Science:

• Gastroenterology and Anesthesiology
• Clinical Practice Guidelines
• Sedation Management

Context:

• Monitored Anesthesia Care (MAC) adoption in Japanese gastrointestinal endoscopy is recent.
• MAC is less prevalent in endoscopic examinations compared to North America due to a shortage of trained sedation providers.
• The Japan Gastroenterological Endoscopy Society and the Japanese Society of Anesthesiologists collaborated on sedation guidelines.

Purpose:

• To introduce and discuss the 2013 "Guidelines for sedation in endoscopic practice" by the Japan Gastroenterological Endoscopy Society.
• To analyze the impact of these guidelines on the increasing popularity of MAC in gastrointestinal endoscopy.
• To explore the current clinical practice and future directions for sedation in endoscopic procedures.

Summary:

• The review article focuses on the "Guidelines for sedation in endoscopic practice" established in 2013.
• These guidelines have facilitated the increased use of Monitored Anesthesia Care (MAC) for gastrointestinal endoscopy in Japan.
• The guidelines address the need for trained sedation providers and aim to enhance patient pain relief and safety.

Impact:

• Increased adoption of Monitored Anesthesia Care (MAC) for gastrointestinal endoscopy in Japan.
• Improved patient pain management and procedural comfort during endoscopic examinations.
• Foundation for establishing a safer sedation system in endoscopic practices, aligning with international standards.