Estudio descriptivo de monitorización de un programa de calidad de sedación por no anestesiólogos
- Rafael Cabadas Avión 1
- Sonsoles Leal Ruiloba 1
- Santiago Vázquez 1
- M. Ojea Cendón 1
- Ismail Wi Hijazi 1
- Aurora Baluja 2
- Julián Álvarez Escudero 2
- 1 Hospital Povisa. Vigo, Pontevedra
- 2 Hospital Clínico Universitario de Santiago. Santiago de Compostela, A Coruña
ISSN: 2340-416, 1130-0108
Year of publication: 2019
Volume: 111
Issue: 1
Pages: 55-62
Type: Article
More publications in: Revista Española de Enfermedades Digestivas
Abstract
Introduction: sedation substantially improves the quality of digestive endoscopy procedures but may result in severe complications. Methods: a joint commission-based multidisciplinary protocol was used to define a protocol for sedation by non-anesthesiologists. ASA 4 patients were excluded, as well as patients with a difficult airway, complex procedures and deep sedation. Quality based on the analysis of 9 indicators were monitored. Incomplete procedures were also monitored in order to assess efficacy. Results: patient safety was established based on a very low incidence of complications and a rate of respiratory events of 1.07. Furthermore, a low rate of hypotension and bradycardia was found, as well as a low rate of pain, either during or after endoscopy and an incidence of unexpected admissions lower than 0.5%. The quality indicators measured reflect the evolution of the results of the program. Conclusions: ongoing sedation program monitoring in endoscopy allows the control of different quality dimensions and the implementation of steps for process improvement.