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TITLE:

PRACTICE RECOMMENDATIONS FOR THE USE OF SEDATION IN ROUTINE HOSPITAL- BASED COLONOSCOPY

AUTHORS:

Dr Qurat-Ul-Ain, Dr Haseeb Afzal, Dr Nimra Suhail.

ABSTRACT:

Introduction: Colonoscopy is a critical tool used for diagnostic tool and treatment purpose of many intestinal conditions, including colorectal cancer. Methods: We took 28 multidisciplinary panellists to enrolled in a modified Delphi process to develop consensus- based recommendations for the use of sedation in colonoscopy. Panel members participated in a factors assessment survey. A person to person meeting was held between voting rounds to support consensus- building. Consensus was defined as >70% contradiction was considered indicative of strong consensus. Objective: the objective of the study was to practice recommendations for the administration of sedation in routine hospital- based colonoscopy. Results: 28 panellists included in the values assessment survey. Panellists graded all factors mentioned as important to the development of practice recommendations. The factor which was taken most important was patient safety. Patient satisfaction, procedural efficiency, and cost were taken as less important. Discussion: The recommendations mentioned in this study were agreed on by a multidisciplinary group and give guidance for the application of sedation in regular hospital- based colonoscopy. Standardised sedation procedures will promote safe, effective, and efficient colonoscopy for all patients.

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