Correspondence  |   October 2018
In Reply
Author Notes
  • University of Chicago, Chicago, Illinois (J.L.A.). jeffa@dacc.uchicago.edu
  • (Accepted for publication July 17, 2018.)
    (Accepted for publication July 17, 2018.)×
Article Information
Correspondence
Correspondence   |   October 2018
In Reply
Anesthesiology 10 2018, Vol.129, 855-856. doi:10.1097/ALN.0000000000002406
Anesthesiology 10 2018, Vol.129, 855-856. doi:10.1097/ALN.0000000000002406
On behalf of the American Society of Anesthesiologists (ASA) Task Force on Moderate Procedural Sedation and Analgesia, we thank Dr. Cattano for his thoughtful Letter to the Editor regarding the ASA Practice Guidelines1  published in March 2018. Dr. Cattano stated that the findings reported among four groups of specialists surveyed were incorrect regarding the recommendation “in urgent or emergent situations, where complete gastric emptying is not possible, do not delay moderate procedural sedation based on fasting time alone” and that he believed that the surveys showed all groups had a higher “nonagreement rate” regarding the practice. Our findings for all four groups, however, reported median scores that reflected “agreement” with the recommendation using a 5-point scale of “strong agreement” to “strong disagreement.” The data show that in all cases, a majority of respondents either strongly agreed or agreed with the recommendation, and the percentage of respondents who disagreed or strongly disagreed never exceeded 35%. If Dr. Cattano was referring to variability among the groups for the disagreement scores, differences in the percentages never exceeded 12.5% for any response category.