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Effects of Sedation Performed by an Anesthesiologist on Pediatric Endoscopy: a Single-Center Retrospective Study in

Sung Min Yang1, Dae Yong Yi1,2, Geun Joo Choi3

  • 1Department of Pediatrics, Chung-Ang University Hospital, Seoul, Korea.

Journal of Korean Medical Science
|June 2, 2020
PubMed

Insights

Pediatric endoscopy sedation by anesthesiologists in Korea leads to reduced complications and sufficient drug doses, though procedure times may increase. Anesthesiologist involvement is recommended for safe pediatric endoscopic procedures.

Area of Science:

  • Pediatric Gastroenterology
  • Anesthesiology
  • Medical Safety

Background:

  • Pediatric endoscopy requires adequate sedation to prevent complications.
  • Sedation practices in Korean pediatric endoscopy lack comprehensive study.
  • Investigating anesthesiologist-led sedation effectiveness is crucial.

Purpose of the Study:

  • To evaluate the effectiveness of sedation for pediatric endoscopy when administered by anesthesiologists.
  • To compare sedation outcomes based on the sedation provider in pediatric patients.

Main Methods:

  • Retrospective review of medical records for pediatric patients (<18 years) undergoing endoscopy.
  • Analysis of sedation instructors, drugs, doses, complications, and recovery times.
  • Comparison of sedation by pediatric endoscopists versus anesthesiologists.

Main Results:

  • Anesthesiologists sedated most patients (86.6% for EGD, 100% for colonoscopy).
  • Anesthesiologist-led procedures were longer but used sufficient drug doses with fewer complications.
  • Propofol dosage increased for colonoscopies; cognitive recovery was linked to propofol in EGD.

Conclusions:

  • Anesthesiologist-administered sedation in pediatric endoscopy ensures adequate drug use and reduces complications.
  • While procedures may take longer, anesthesiologist involvement is beneficial for pediatric endoscopy safety in Korea.
  • Anesthesiologists should be considered for sedation in pediatric endoscopy settings.
Abstract

Keywords:
AnesthesiaEndoscopyPediatric PatientsPropofol

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