Sedation/Analgesia Administration Practice Varies according to Endoscopy Facility (Hospital- or Office-Based) Setting: Results from a Nationwide Survey in Greece
Objectives. To examine the impact of endoscopy setting (hospital-based vs. office-based) on sedation/analgesia administration and to provide nationwide data on monitoring practices among Greek gastroenterologists in real-world settings. Material and Methods. A web-based survey regarding sedation/ana...
Saved in:
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2020-01-01
|
| Series: | Gastroenterology Research and Practice |
| Online Access: | http://dx.doi.org/10.1155/2020/8701791 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832560234072113152 |
|---|---|
| author | Georgios Tziatzios Dimitrios N. Samonakis Theocharis Tsionis Spyridon Goulas Dimitrios Christodoulou Konstantinos Triantafyllou |
| author_facet | Georgios Tziatzios Dimitrios N. Samonakis Theocharis Tsionis Spyridon Goulas Dimitrios Christodoulou Konstantinos Triantafyllou |
| author_sort | Georgios Tziatzios |
| collection | DOAJ |
| description | Objectives. To examine the impact of endoscopy setting (hospital-based vs. office-based) on sedation/analgesia administration and to provide nationwide data on monitoring practices among Greek gastroenterologists in real-world settings. Material and Methods. A web-based survey regarding sedation/analgesia rates and monitoring practices during endoscopy either in a hospital-based or in an office-based setting was disseminated to the members of the Hellenic Society of Gastroenterology and Professional Association of Gastroenterologists. Participants were asked to complete a questionnaire, which consisted of 35 items, stratified into 4 sections: demographics, preprocedure (informed consent, initial patient evaluation), intraprocedure (monitoring practices, sedative agents’ administration rate), and postprocedure practices (recovery). Results. 211 individuals responded (response rate: 40.3%). Propofol use was significantly higher in the private hospital compared to the public hospital and the office-based setting for esophagogastroduodenoscopy (EGD) (85.8% vs. 19.5% vs. 10.5%, p<0.0001) and colonoscopy (88.2% vs. 20.1% vs. 9.4%, p<0.0001). This effect was not detected for midazolam, pethidine, and fentanyl use. Endoscopists themselves administered the medications in most cases. However, a significant contribution of anesthesiology sedation/analgesia provision was detected in private hospitals (14.7% vs. 2.8% vs. 2.4%, p<0.001) compared to the other settings. Only 35.2% of the private offices have a separate recovery room, compared to 80.4% and 58.7% of the private hospital- and public hospital-based facilities, respectively, while the nursing personnel monitored patients’ recovery in most of the cases. Participants were familiar with airway management techniques (83.9% with bag valve mask and 23.2% with endotracheal intubation), while 49.7% and 21.8% had received Basic Life Support (BLS) and Advanced Life Support (ALS) training, respectively. Conclusion. The private hospital-based setting is associated with higher propofol sedation administration both for EGD and for colonoscopy. Greek endoscopists are adequately trained in airway management techniques. |
| format | Article |
| id | doaj-art-2bd8bbe06b3a455f8f6d216e74329e63 |
| institution | Kabale University |
| issn | 1687-6121 1687-630X |
| language | English |
| publishDate | 2020-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Gastroenterology Research and Practice |
| spelling | doaj-art-2bd8bbe06b3a455f8f6d216e74329e632025-02-03T01:28:03ZengWileyGastroenterology Research and Practice1687-61211687-630X2020-01-01202010.1155/2020/87017918701791Sedation/Analgesia Administration Practice Varies according to Endoscopy Facility (Hospital- or Office-Based) Setting: Results from a Nationwide Survey in GreeceGeorgios Tziatzios0Dimitrios N. Samonakis1Theocharis Tsionis2Spyridon Goulas3Dimitrios Christodoulou4Konstantinos Triantafyllou5Hepatogastroenterology Unit, Second Department of Internal Medicine-Propaedeutic, Research Institute and Diabetes Center, Medical School, National and Kapodistrian University of Athens, “Attikon” University General Hospital, Athens, GreeceDepartment of Gastroenterology & Hepatology, University Hospital of Heraklion, Crete, GreeceGastroenterology Private Practice Facility, Serres, GreeceDepartment of Gastroenterology, Elena Venizelou General Hospital, Athens, GreeceDivision of Gastroenterology, University Hospital & Faculty of Medicine, School of Health Sciences, University of Ioannina, Ioannina, GreeceHepatogastroenterology Unit, Second Department of Internal Medicine-Propaedeutic, Research Institute and Diabetes Center, Medical School, National and Kapodistrian University of Athens, “Attikon” University General Hospital, Athens, GreeceObjectives. To examine the impact of endoscopy setting (hospital-based vs. office-based) on sedation/analgesia administration and to provide nationwide data on monitoring practices among Greek gastroenterologists in real-world settings. Material and Methods. A web-based survey regarding sedation/analgesia rates and monitoring practices during endoscopy either in a hospital-based or in an office-based setting was disseminated to the members of the Hellenic Society of Gastroenterology and Professional Association of Gastroenterologists. Participants were asked to complete a questionnaire, which consisted of 35 items, stratified into 4 sections: demographics, preprocedure (informed consent, initial patient evaluation), intraprocedure (monitoring practices, sedative agents’ administration rate), and postprocedure practices (recovery). Results. 211 individuals responded (response rate: 40.3%). Propofol use was significantly higher in the private hospital compared to the public hospital and the office-based setting for esophagogastroduodenoscopy (EGD) (85.8% vs. 19.5% vs. 10.5%, p<0.0001) and colonoscopy (88.2% vs. 20.1% vs. 9.4%, p<0.0001). This effect was not detected for midazolam, pethidine, and fentanyl use. Endoscopists themselves administered the medications in most cases. However, a significant contribution of anesthesiology sedation/analgesia provision was detected in private hospitals (14.7% vs. 2.8% vs. 2.4%, p<0.001) compared to the other settings. Only 35.2% of the private offices have a separate recovery room, compared to 80.4% and 58.7% of the private hospital- and public hospital-based facilities, respectively, while the nursing personnel monitored patients’ recovery in most of the cases. Participants were familiar with airway management techniques (83.9% with bag valve mask and 23.2% with endotracheal intubation), while 49.7% and 21.8% had received Basic Life Support (BLS) and Advanced Life Support (ALS) training, respectively. Conclusion. The private hospital-based setting is associated with higher propofol sedation administration both for EGD and for colonoscopy. Greek endoscopists are adequately trained in airway management techniques.http://dx.doi.org/10.1155/2020/8701791 |
| spellingShingle | Georgios Tziatzios Dimitrios N. Samonakis Theocharis Tsionis Spyridon Goulas Dimitrios Christodoulou Konstantinos Triantafyllou Sedation/Analgesia Administration Practice Varies according to Endoscopy Facility (Hospital- or Office-Based) Setting: Results from a Nationwide Survey in Greece Gastroenterology Research and Practice |
| title | Sedation/Analgesia Administration Practice Varies according to Endoscopy Facility (Hospital- or Office-Based) Setting: Results from a Nationwide Survey in Greece |
| title_full | Sedation/Analgesia Administration Practice Varies according to Endoscopy Facility (Hospital- or Office-Based) Setting: Results from a Nationwide Survey in Greece |
| title_fullStr | Sedation/Analgesia Administration Practice Varies according to Endoscopy Facility (Hospital- or Office-Based) Setting: Results from a Nationwide Survey in Greece |
| title_full_unstemmed | Sedation/Analgesia Administration Practice Varies according to Endoscopy Facility (Hospital- or Office-Based) Setting: Results from a Nationwide Survey in Greece |
| title_short | Sedation/Analgesia Administration Practice Varies according to Endoscopy Facility (Hospital- or Office-Based) Setting: Results from a Nationwide Survey in Greece |
| title_sort | sedation analgesia administration practice varies according to endoscopy facility hospital or office based setting results from a nationwide survey in greece |
| url | http://dx.doi.org/10.1155/2020/8701791 |
| work_keys_str_mv | AT georgiostziatzios sedationanalgesiaadministrationpracticevariesaccordingtoendoscopyfacilityhospitalorofficebasedsettingresultsfromanationwidesurveyingreece AT dimitriosnsamonakis sedationanalgesiaadministrationpracticevariesaccordingtoendoscopyfacilityhospitalorofficebasedsettingresultsfromanationwidesurveyingreece AT theocharistsionis sedationanalgesiaadministrationpracticevariesaccordingtoendoscopyfacilityhospitalorofficebasedsettingresultsfromanationwidesurveyingreece AT spyridongoulas sedationanalgesiaadministrationpracticevariesaccordingtoendoscopyfacilityhospitalorofficebasedsettingresultsfromanationwidesurveyingreece AT dimitrioschristodoulou sedationanalgesiaadministrationpracticevariesaccordingtoendoscopyfacilityhospitalorofficebasedsettingresultsfromanationwidesurveyingreece AT konstantinostriantafyllou sedationanalgesiaadministrationpracticevariesaccordingtoendoscopyfacilityhospitalorofficebasedsettingresultsfromanationwidesurveyingreece |