Journal of Anesthesia

, Volume 28, Issue 5, pp 785–789 | Cite as

Effects of a simulation-based sedation training course on non-anesthesiologists’ attitudes toward sedation and analgesia

  • Nobuyasu Komasawa
  • Shunsuke Fujiwara
  • Kazuaki Atagi
  • Ryusuke Ueki
  • Masanori Haba
  • Hironobu Ueshima
  • Yoshiroh Kaminoh
  • Toshiaki Minami
Short Communication


The purpose of this study was to conduct a survey of emergency or complication during sedation and change of attitude toward sedation by simulation-based sedation training course (SEDTC) hosted by the Japanese Association of Medical Simulation. We used a questionnaire survey to non-anesthesiologists who participated in the 1st to 13th SEDTCs from 2011 to 2012. Survey contents included emergencies or complications during sedation and impressions of the Sedation and Analgesia guidelines for non-anesthesia doctors developed by the American Society of Anesthesiologists. Of 84 non-anesthesiologists, 81 have encountered patient respiratory suppression. More than 70 % non-anesthesiologists have encountered patient respiratory arrest. All non-anesthesiologists have encountered patient cardiac suppression; 20–30 % of non-anesthesiologists have encountered patient anaphylaxis, asthma attack, and cardiac arrest; and all non-anesthesiologists have encountered patient vomiting and about 80 % aspiration. Non-anesthesiologists largely accepted the guidelines. SEDTC attendance improved significantly 13 points of 18 important suggestions. As non-anesthesiologists experience several complications during sedation, SEDTC may be useful for the improvement of their attitude toward the safety management of sedation.


Sedation and analgesia Simulation training Non-anesthesiologist Guideline 


Conflict of interest

The authors have no affiliation with any manufacturer of any device described in the manuscript and declare no financial interest in relationship to the material described in the manuscript. Financial support for the study was provided by our institution and department.


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Copyright information

© Japanese Society of Anesthesiologists 2014

Authors and Affiliations

  • Nobuyasu Komasawa
    • 1
  • Shunsuke Fujiwara
    • 1
  • Kazuaki Atagi
    • 2
  • Ryusuke Ueki
    • 3
  • Masanori Haba
    • 4
  • Hironobu Ueshima
    • 5
  • Yoshiroh Kaminoh
    • 6
  • Toshiaki Minami
    • 1
  1. 1.Department of AnesthesiologyOsaka Medical CollegeTakatsukishiJapan
  2. 2.Department of Intensive Care UnitOsaka City General HospitalOsakaJapan
  3. 3.Department of AnesthesiologyHyogo College of MedicineHyogoJapan
  4. 4.Department of AnesthesiologyJapanese Red Cross Society Wakayama Medical CenterWakayamaJapan
  5. 5.Department of AnesthesiologySaitama Medical University International Medical CenterSaitamaJapan
  6. 6.Department of Surgical CenterHyogo College of MedicineHyogoJapan

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