Multisociety sedation curriculum for gastrointestinal endoscopy

Introduction—VargoSedation Pharmacology—DeLeggeInformed Consent for Endoscopic Sedation—FeldPeriprocedure Assessment for Endoscopic Procedures—KwoLevels of Sedation—LightdaleTraining in the Administration of Specific Agents for Moderate Sedation—GerstenbergerTraining in Airway/Rescue Techniques and Management of Complications—RexAnesthesiologist Assistance for Endoscopic Procedures—VargoIntraprocedure Monitoring—NuccioPostprocedure Assessment Training—VargoEndoscopy in Pregnant and Lactating Women—VargoAssessment of Competency in Endoscopic Sedation—SchillerBibliographyAppendix: Primer in Sedation Pharmacology—DeLegge The Multisociety Sedation Curriculum for Gastrointestinal Endoscopy (MSCGE) grew out of the need for a complete and programmatic approach to the training of procedure sedation. As a natural outgrowth of the Gastroenterology Core Curriculum, the sponsoring societies thought that a comprehensive document covering the aspects of procedure sedation from pharmacology, periprocedure assessment, airway management, and the use of anesthesia services was necessary for a variety of reasons. Chief among these was to ensure a standardized basis for instruction through the use of competency-based training. This constitutes a living document that represents the sponsoring societies' vision of best practices in procedure sedation training based on published data and expert consensus. It provides a framework for developing an individual plan of study and growth that should be tailored to meet the needs of each individual trainee based on the strengths and special qualities of each individual training program. Additionally, the curriculum can serve the practicing gastroenterologist in the updating of both knowledge and skills. The curriculum will continue to evolve with time as new knowledge, methods of learning, novel techniques and technologies, and challenges arise. This edition has been divided into an overview of training and 11 sections encompassing the breadth of knowledge and skills required for the practice of procedural sedation for GI endoscopy. This MSCGE represents a joint collaborative effort among the national gastroenterology societies—the American Association for the Study of Liver Diseases, the American College of Gastroenterology, the American Gastroenterological Association Institute, and the American Society for Gastrointestinal Endoscopy. In addition, the Society for Gastroenterology Nurses and Associates played a crucial role in the development of the MSCGE. Other professional non-GI societies and regulatory organizations were invited to take part in the development of the MSCGE. This included the American Association of Nurse Anesthetists, the American Society of Anesthesiologists (ASA), and the Centers for Medicare and Medicaid Services (CMS). The American Association of Nurse Anesthetists did not respond to inquiries, CMS decided not to participate, and the ASA appointed a nonvoting observer who participated in the developmental process. 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