Standardization of propofol-based sedation by non-anesthesiologists in the endoscopy unit

• Published in: Progress of Digestive Endoscopy Vol. 106; no. 1; pp. 27 - 32
• Main Authors: Uesato, Masaya, Taida, Takashi, Matsumura, Tomoaki, Kuwabara, Mariko, Okuyama, Megumi, Kato, Jun, Kikuchi, Atsuko, Okimoto, Kenichiro
• Format: Journal Article
• Language: English; Japanese
• Published: Japan Gastroenterological Endoscopy Society Kanto Chapter 13.06.2025
• ISSN: 1348-9844; 2187-4999
• DOI: 10.11641/pde.106.1_27

There is a growing demand for endoscopic procedures using sedatives, and safe perioperative management is required. In 2021, our hospital formed a "Working Group for Sedation Safety" (WG) with members from various professions. In this study, we examined the activities and effectiveness of the WG. The main activities of the WG were the creation of guidelines, setting standards for cases using general anesthesia, education, certification, protocol creation, and monitoring. Compared to 2019, which was before the WG was started, the number of cases of propofol use increased as of 2023, but there were no serious complications. Mild complications were kept to a minimum. The number of cases of general anesthesia for ESD also increased. The activities of the WG have made it possible to perform safe sedation procedures using propofol in the endoscopy department.