Korean clinical practice guidelines for diagnostic and procedural sedation

Area of Science:

• Medical Practice
• Patient Safety
• Clinical Guidelines

Background:

• Sedation safety and efficacy are influenced by numerous factors including drug choice, provider expertise, patient condition, and available resources.
• Multidisciplinary clinical practice guidelines are essential for standardizing care and improving patient outcomes.

Purpose of the Study:

• To establish evidence-based, multidisciplinary clinical practice guidelines for safe and effective sedation.
• To enhance patient safety and public health by providing recommendations for sedation-related decision-making.

Main Methods:

• Development of 15 key questions addressing critical aspects of sedation.
• Systematic development of recommendations for providers and patients.
• Inclusion of topics such as sedation providers, medications, patient selection, monitoring, and discharge criteria.

Main Results:

• Guidelines cover sedation providers, medications, patient selection, anesthesiologist referrals, pre-sedation fasting, drug comparisons (adult/pediatric), monitoring (respiratory, cardiovascular, depth), pediatric respiratory complication management, and discharge criteria.
• Recommendations are designed to assist in decision-making for diagnostic and therapeutic procedures.

Conclusions:

• The guidelines provide a framework for optimizing sedation safety and efficacy.
• Healthcare institutions can adapt or adopt these recommendations based on their specific needs and resources to improve patient care.