ArticleBMJ open gastroenterology2020
Practice recommendations for the use of sedation in routine hospital-based colonoscopy.
Article in BMJ open gastroenterology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
19 citing papers in PubMed.
- Anesthetic strategy for obese patients during gastroscopy: deep sedation or conscious sedation? A prospective randomized controlled trial.Journal of anesthesia · 2021Trial
- Taking a pragmatic approach to implement colonoscopy quality at a health system level: Ontario's colonoscopy quality strategy.Journal of the Canadian Association of Gastroenterology · 2026Article
- The impact of sedation on adenoma and polyp detection rates in colonoscopy: an evidence-informed narrative review.Translational gastroenterology and hepatology · 2026Review
- Current and Emerging Sedation Practices for Colonoscopy: A Narrative Review of Pharmacological Agents, High-Risk Populations, and Safety Considerations.Journal of clinical medicine · 2025Review
- Effects of ciprofol on respiratory-related adverse incidence in patients with obesity during painless gastroscopy: a prospective, randomized clinical trial.Perioperative medicine (London, England) · 2025Article
- Impact of Immersive Virtual Reality During Outpatient Sedation-Free Colonoscopy: A Randomized Prospective Controlled Study.Health science reports · 2025Article
- "It's a tool, it's got hardships": a qualitative study of patient experience of colonoscopy and implications for trauma-informed care.Therapeutic advances in gastroenterology · 2025Article
- Differences in colonoscopy performance among four endoscopy centers in Western Norway: Influence of case-mix.Endoscopy international open · 2025Article
- Unsedated or On-Demand Minimally Sedated Water-Aided Outpatient Colonoscopy in Colorectal Cancer Screening and Surveillance: A Step Forward or Backward? Experience from Daily Practice in a Regional (Nonacademic) Hospital.Diagnostics (Basel, Switzerland) · 2024Article
- Comparison of Synergistic Sedation with Midazolam and Propofol Versus Midazolam and Pethidine in Colonoscopies: A Prospective, Randomized Controlled Study.Chonnam medical journal · 2024Article
- Unsedated colonoscopy utilizing virtual reality distraction: a pilot-controlled study.Surgical endoscopy · 2024Article
- Comparison of Fentanyl, Ketamine, and Lidocaine Combined with Propofol Anesthesia in Patients with Crohn Disease Undergoing Colonoscopy.Medical science monitor : international medical journal of experimental and clinical research · 2024Article
- Brazilian Consensus on the Application of Thermal Ablation for Treatment of Thyroid Nodules: A Task Force Statement by the Brazilian Society of Interventional Radiology and Endovascular Surgery (SOBRICE), Brazilian Society of Head and Neck Surgery (SBCCP), and Brazilian Society of Endocrinology and Metabolism (SBEM).Archives of endocrinology and metabolism · 2024Article
- General Principles for the Safe Performance, Training, and Adoption of Ablation Techniques for Benign Thyroid Nodules: An American Thyroid Association Statement.Thyroid : official journal of the American Thyroid Association · 2023Article
- Patient Safety during Propofol Sedation before and after Implementation of Capnography Monitoring.Journal of clinical medicine · 2023Article
- Randomised controlled trials of non-pharmacological interventions to improve patient-reported outcomes of colonoscopy: a scoping review.BMJ open gastroenterology · 2023Article
- Risk Factors Associated with Painful Colonoscopy and Prolonged Cecal Intubation Time in Female Patients.Journal of the anus, rectum and colon · 2023Article
- Comparison of adenoma detection in different colorectal segments between deep-sedated and unsedated colonoscopy.Scientific reports · 2022Article
- Article
Corrections and comments
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Authors and funding
8 authors.
Funding
Abstract
Objective: Although sedation improves patient experience during colonoscopy, there is great jurisdictional variability in sedative practices. The objective of this study was to develop practice recommendations for the use of moderate and deep sedation in routine hospital-based colonoscopy to facilitate standardisation of practice. Design: We recruited 32 multidisciplinary panellists to participate in a modified Delphi process to establish consensus-based recommendations for the use of sedation in colonoscopy. Panel members participated in a values assessment survey followed by two rounds of anonymous online voting on preliminary practice recommendations. An inperson meeting was held between voting rounds to facilitate consensus-building. Consensus was defined as >60% agreement/disagreement with recommendation statements; >80% agreement/disagreement was considered indicative of strong consensus. Results: Twenty-nine panellists participated in the values assessment survey. Panellists ranked all factors presented as important to the development of practice recommendations. The factor considered most important was patient safety. Patient satisfaction, procedural efficiency, and cost were considered less important. Strong consensus was achieved for all nine practice recommendations presented to the panel. These recommendations included that all endoscopists be able to perform colonoscopy with moderate sedation, that an endoscopist and a single trained nurse are sufficient for performing colonoscopy with moderate sedation, and that anaesthesia-provided deep sedation be used for select patients. Conclusion: The recommendations presented in this study were agreed on by a multidisciplinary group and provide guidance for the use of sedation in routine hospital-based colonoscopy. Standardised sedation practices will promote safe, effective, and efficient colonoscopy for all patients.
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