STATUS OF THE USE OF “TIME OUT” JUST BEFORE PROCEDURE AND “DISCHARGE CRITERIA” AFTER PROCEDURE WITH SEDATION, AS PERIOPERATIVE MANAGEMENT OF ESOPHAGOGASTRODUODENOSCOPY
2022 Volume 64 Issue 4 Pages 1039-1047
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2022 Volume 64 Issue 4 Pages 1039-1047
Background and aim: “Time out” is a brief pause preceding esophagogastroduodenoscopy (EGD) to confirm the identity of the patient, and the assessment of “discharge criteria” after EGD with sedation can facilitate efficient examinations while maintaining patient safety. However, in Japan, the extent of their applicability in clinical practice is unclear. This study aimed to clarify the actual implementation status of “time out” and “discharge criteria.”
Methods: We distributed a questionnaire survey to institution-based endoscopists in Japan.
Results: A total of 66 institutions provided valid answers, which revealed the following statistics. As a component of perioperative management of EGD, “time out” was introduced in 61% of the institutions. The answers provided for each item of the questionnaire varied among institutions. More than 60% of the institutions adopted patient names, examination contents, anti-thrombotic drugs, known allergies, and underlying diseases. In addition, “discharge criteria” was introduced in 65% of the institutions. Trends in the assessment of “discharge criteria” showed that the adoption of “institution-based criteria” (44%) and “anesthesia recovery score” (39%) created by the Japan Gastroenterological Endoscopy Technicians Society were followed by majority of the institutions.
Conclusion: Although “time out” preceding the procedure and “discharge criteria” after sedation are becoming prominent components of perioperative management in EGD, the criteria of these components lack uniformity. Simple and uniform criteria should be created for nationwide implementation.
