title: [The Monitored Anesthesia Care in Gastrointestinal Endoscopy--Current Situation in Japan].
abstract: Monitored Anesthesia Care (MAC) in gastrointestinal endoscopy-treatment has been introduced in Japanese clinical situations recently. Nonetheless, MAC in gastrointestinal endoscopy-examination is not so popular unlike the North American situation because of the lack of trained sedation providers. However, Japan Gastroenterological Endoscopy Society created the "Guidelines for sedation in endoscopic practice"in 2013 under the cooperation of the Japanese Society of Anesthesiologists. These guidelines for sedation in endoscopic practice made MAC more popular for pain relief of the patient, and the establishment of safe sedation system should be provided eventually. In this review article, the guidelines are introduced and discussed for the current clinical practice and for the future.
authors.forename: Makoto
authors.initials: M
authors.lastname: Ozaki
mesh_terms: D000758:Anesthesia; D016292:Procedural Sedation / Q000592:standards; D016099:Endoscopy, Gastrointestinal / Q000379:methods*; D006801:Humans; D007564:Japan; D008991:Monitoring, Physiologic / Q000295:instrumentation; D017410:Practice Guidelines as Topic