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A descriptive monitoring study of a non-anesthetist sedation quality program
Rafael Cabadas Avión1, María Sonsoles Leal Ruiloba2, Santiago Vázquez López3
1Anestesiología y Cuidados Intensivos, Hospital Povisa, España.
Introduction:
sedation substantially improves the quality of digestive endoscopy procedures but may result in severe complications.
Methods:
a joint commission-based multidisciplinary protocol was used to define a protocol for sedation by non-anesthesiologists. ASA 4 patients were excluded, as well as patients with a difficult airway, complex procedures and deep sedation. Quality based on the analysis of 9 indicators were monitored. Incomplete procedures were also monitored in order to assess efficacy.
Results:
patient safety was established based on a very low incidence of complications and a rate of respiratory events of 1.07. Furthermore, a low rate of hypotension and bradycardia was found, as well as a low rate of pain, either during or after endoscopy and an incidence of unexpected admissions lower than 0.5%. The quality indicators measured reflect the evolution of the results of the program.
Conclusions:
ongoing sedation program monitoring in endoscopy allows the control of different quality dimensions and the implementation of steps for process improvement.
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