Korean J Anesthesiol.
2024 Feb;77(1):5-30. 10.4097/kja.23745.
Korean clinical practice guidelines for diagnostic and procedural sedation
- Kim SH
1 - Moon YJ2
- Chae MS3
- Lee YJ4
- Karm MH5
- Joo EY2
- Min JJ6
- Koo BN7
- Choi JH8
- Hwang JY9
- Yang Y10
- Kwon MA11
- Koh HJ3
- Kim JY12
- Park SY13
- Kim H14
- Chung YH1
- Kim NY7
- Choi SU15
- Affiliations
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- 1Department of Anesthesiology and Pain Medicine, Soonchunhyang University Bucheon Hospital, Soonchunhyang University College of Medicine, Bucheon, Korea
- 2Department of Anesthesiology and Pain Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea
- 3Department of Anesthesiology and Pain Medicine, Seoul St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea
- 4Department of Anesthesiology and Pain Medicine, Konkuk University Medical Center, Seoul, Korea
- 5Department of Dental Anesthesiology, School of Dentistry and Dental Research Institute, Seoul National University, Seoul, Korea
- 6Department of Anesthesiology and Pain Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea
- 7Department of Anesthesiology and Pain Medicine, Anesthesia and Pain Research Institute, Yonsei University College of Medicine, Seoul, Korea
- 8Department of Anesthesiology and Pain Medicine, Kyung Hee University College of Medicine, Seoul, Korea
- 9Department of Anesthesiology and Pain Medicine, SMG-SNU Boramae Medical Center, Seoul National University College of Medicine, Seoul, Korea
- 10Department of Pediatric Dentistry, Jeonbuk National University School of Dentistry, Jeonju, Korea
- 11Department of Anesthesiology and Pain Medicine, Dankook University Hospital, Cheonan, Korea
- 12Department of Anesthesiology and Pain Medicine, Ajou University School of Medicine, Suwon, Korea
- 13Department of Anesthesiology and Pain Medicine, Soonchunhyang University Seoul Hospital, Soonchunhyang University College of Medicine, Seoul, Korea
- 14Department of Anesthesiology and Pain Medicine, Kyungpook National University School of Medicine, Daegu, Korea
- 15Department of Anesthesiology and Pain Medicine, Korea University College of Medicine, Seoul, Korea
- KMID: 2551479
- DOI: http://doi.org/10.4097/kja.23745
Abstract
- Safe and effective sedation depends on various factors, such as the choice of sedatives, sedation techniques used, experience of the sedation provider, degree of sedation-related education and training, equipment and healthcare worker availability, the patient’s underlying diseases, and the procedure being performed. The purpose of these evidence-based multidisciplinary clinical practice guidelines is to ensure the safety and efficacy of sedation, thereby contributing to patient safety and ultimately improving public health. These clinical practice guidelines comprise 15 key questions covering various topics related to the following: the sedation providers; medications and equipment available; appropriate patient selection; anesthesiologist referrals for high-risk patients; pre-sedation fasting; comparison of representative drugs used in adult and pediatric patients; respiratory system, cardiovascular system, and sedation depth monitoring during sedation; management of respiratory complications during pediatric sedation; and discharge criteria. The recommendations in these clinical practice guidelines were systematically developed to assist providers and patients in sedation-related decision making for diagnostic and therapeutic examinations or procedures. Depending on the characteristics of primary, secondary, and tertiary care institutions as well as the clinical needs and limitations, sedation providers at each medical institution may choose to apply the recommendations as they are, modify them appropriately, or reject them completely.
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