Sedation practices during gastrointestinal endoscopy among gastroenterologists: A Nationwide cross-sectional study in Jordan.

BACKGROUND AND STUDY AIMS: Although benzodiazepines and opioids are commonly used during endoscopy, there is no consensus on an optimal sedation method. However, more physicians prefer propofol for its favored anesthetic properties. This study aimed to compare the sedation regimens used during endoscopy among gastroenterologists in the private and public sectors in Jordan.

PATIENTS AND

METHODS

A seven-section survey comprising 47 questions was designed to assess sedation practices during esophago-gastro-duodenoscopy (EGD), colonoscopy, and endoscopic retrograde cholangiopancreatography (ERCP) and was distributed among Jordanian gastroenterologists.

RESULTS

Of 125 gastroenterologists, 113 (90%) participated in this study. Sedation was used less frequently in the public vs. private sector for EGD (47.4% vs. 94.6%, respectively) and colonoscopy (76.3% vs. 97.3%, respectively). However, all patients who underwent ERCP received sedation in both health sectors. Propofol was used at a lower rate in the public sector than in the private sector (44.7% vs. 77.3%, respectively, P < 0.001). Although 31% of gastroenterologists lacked formal sedation training, 93% supported national sedation guidelines.

CONCLUSIONS

In Jordan, sedation methods used during gastrointestinal endoscopy differ between the public and private sector. Private sector gastroenterologists are more likely to collaborate with anesthesiologists to administer deep sedation and are more satisfied with their sedation regimens than those in the public sector. Standardized protocols and international guidelines are necessary to enhance patient safety and procedural quality.