PART 1: Sedation Endoscopy and Patient Evaluation and Monitoring

Chapter 1 Introduction and Background 10
Chapter 2 Pre-sedation Preparation and Patient Assessment 18
Chapter 3 Patient Monitoring During Sedation 23
Chapter 4 Patient Monitoring During Recovery After Sedation 29

PART 2: The Practice of Endoscopic Sedation and Management of Contingencies

Chapter 5 Pharmacology of Sedatives 34
Chapter 6: The Reality of Endoscopic Sedation 46
1 Midazolam standard sedation 46
2 Propofol sedation 50
3 Duty of care in administering sedatives 54
4 Sedation Techniques for High-Difficulty Endoscopic Procedures 55
1 .
Upper gastrointestinal endoscopy 55
2.
Lower gastrointestinal endoscopy and enteroscopy 61
3.
Pancreatobiliary Endoscopy 65
Chapter 7 Calmness in Special Situations 72
1 Sedation in Patients with Chronic Liver Disease 72
2 Sedation in Patients with Chronic Kidney Disease 75
3 Sedation in Pregnant and Lactating Women 77
4 Sedation in Obese Patients 82
5 Sedation in Elderly Patients 85
6 Sedation in Children and Adolescents 88
90 patients who are not well sedated
Chapter 8: Sedation-Related Contingencies and Emergency Response 95
1. Accidental discharge related to true 95
2 Prevention and Management of Cardiopulmonary Accidents Related to Sedation and Emergency Resuscitation 99
3 Prevention and Management of Noncardiopulmonary Incidents Related to Sedation 111

PART 3 Sedation Endoscopy Education and Consent Form

Chapter 9: Training and Core Curriculum for Sedation Endoscopy 116
1 Current status of training for sedation endoscopy 116
2 Recommendations for a Training Curriculum for Sedation Endoscopy 122
Chapter 10: Consent Form for Sedation Endoscopy and Sedation Records 128

Appendix 1: Sedation Endoscopy Form 133
Appendix 2: 2025 Korean Society of Gastrointestinal Endoscopy Guidelines for Sedation Endoscopy Key Questions 141

INDEX Browse 146

Preface

hello?

This is Park Jong-jae, the president of the Korean Society of Gastrointestinal Endoscopy.


I sincerely congratulate you on the third edition of the Endoscopy Guidebook.
Since the first publication of the Guidebook for Physicians and Nurses Performing Sedation Endoscopy in 2015, there have been many advancements and changes in the field of sedation.
Since 2016, the Korean Society of Gastrointestinal Endoscopy has been providing various sedation training programs to medical professionals, including propofol sedation training at medical institutions and hospitals certified by the Korean Medical Association.
In addition, we have been dedicated to improving the quality of sedation endoscopy by consistently conducting education, research, and promotional activities related to sedation endoscopy for the certification of excellent endoscopy rooms and quality management of national cancer screening.

This third edition of the guidebook covers the patient evaluation and monitoring process for sedation endoscopy, the practice of endoscopic sedation, management of complications, and sedation endoscopy education and consent forms. We expect it to be of great help in performing sedation endoscopy efficiently and safely in actual clinical practice.
In particular, we conducted a survey targeting doctors, nurses, and patients to reflect opinions from domestic clinical settings, and included key questions from the newly revised 2025 Endoscopy Clinical Practice Guidelines.
In addition to the existing sedation endoscopy theory education, we have also proposed a new Core Curriculum that includes practical training such as CPR and simulation for responding to emergencies.
We expect this to contribute significantly to fostering the ability to safely perform various endoscopic procedures and sedation endoscopy tailored to the patient's situation.

The Korean Society of Gastrointestinal Endoscopy is proactively and dedicatedly working to wisely overcome the challenges faced by sedation endoscopy and create a more efficient and safe endoscopic medical environment.
Finally, I would like to express my deepest gratitude to the members of the Truth and Reconciliation Committee who passionately dedicated themselves to revising this guidebook.

March 2025
Park Jong-jae, Chairman of the Korean Society of Gastrointestinal Endoscopy