Lee Jun Kyu, Lee Yoo Jin, Cho Jun Hyung, Im Jong Pil, Park Chang-Hwan, Jang Jae-Young, Jang Byung Ik
Department of Internal Medicine, Dongguk University Ilsan Hospital, College of Medicine, Dongguk University, Goyang, Korea.
Department of Internal Medicine, Keimyung University College of Medicine, Seoul, Korea.
Clin Endosc. 2019 Sep;52(5):451-457. doi: 10.5946/ce.2019.172. Epub 2019 Sep 30.
Sedation, defined as the depressed level of consciousness, induced by drug administration, is widely used for gastrointestinal endoscopy to relieve a patient's anxiety and discomfort. In addition, successful procedure is anticipated with control of unintended movements. Endoscopic sedation, however, cannot be free from the risk of serious adverse events, e.g., cardiopulmonary compromise. Therefore, principles on personnel, facility and equipment, as well as performance itself, should be followed to prevent unfavorable incidents. In this article, sedation guidelines for the Accreditation of Qualified Endoscopy Units, issued by the Korean Society of Gastrointestinal Endoscopy, are presented.
镇静是指通过药物给药诱导的意识水平降低,广泛用于胃肠内镜检查以缓解患者的焦虑和不适。此外,预期通过控制意外运动可顺利完成检查。然而,内镜镇静无法避免严重不良事件的风险,例如心肺功能不全。因此,应遵循人员、设施和设备以及操作本身的原则,以防止发生不良事件。本文介绍了韩国胃肠内镜学会发布的合格内镜检查单位认证的镇静指南。