Hodgson, L.; Stoker, E.; Thompson, N.P.
April 2003
Gut;Apr2003 Supplement 1, Vol. 52, pA71
Academic Journal
Aims: To assess existing level of sedation training in gastroenterology across the Northern Region in line with current guidelines. The Royal College of Surgeons Report in 1993 suggested there was a Jack of formal sedation training courses encompassing maintenance of skills by continuing professional education. Method: An anonymous postal questionnaire based on current guidelines was sent to all endoscopists in the Northern Region. Results: 167 questionnaires were distributed. We received 112 (67%) replies of which 100 (89%) were complete and 12 (11%) were partially complete. Respondents comprised consultants 67%, specialist registrars 16%, nurse endoscopists 13%, and other 4%. The average number of years administering sedation was 13 years. Drugs regularly used were midazolam 96%, diazemuls 22%, pethidine 81%, fentanyl 7%, propofol 0%, and other 4%. informal training was undertaken by 80% of respondents. The training of these respondents was performed by senior colleagues 83%, anaesthetists 4%, self-trained 4%, and other 9%. Formal training was undertaken by 19% of respondents an average of 7 years ago. Training in sedation reversal identified 67% of respondents had undergone informal training of which senior colleagues trained 64%. Basic life support training had been attended by 69% of which 31% of these attended within the previous 12 months. Advanced life support training had been attended by 41% of which 59% of these had attended within the previous 3 years. 89% of respondents ensure oxygen is administered to sedated patients. 74% monitor paediatric and elderly patients differently. 63% of respondents would like to undertake a recognised qualification. 47% of respondents would be prepared to attend yearly simulated sedation incident workshops. Conclusion: This study identifies the continued lack of formal sedation training that was highlighted by The Royal College of Surgeons Report in 1993. There is a need to implement training to comply with current...


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