Procedural Sedation

Procedural Sedation is a topic covered in the 5-Minute Emergency Consult.

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Basics

Administration of agents with or without analgesia to induce a state that allows diagnostic and therapeutic procedures to be performed successfully without significant pain and/or anxiety while maintaining cardiorespiratory function.
Preparation
  • Obtain consent
  • Equipment
    • Breathing masks, bag-valve ventilation device, oropharyngeal and nasal airways, laryngoscopes, endotracheal tubes, and stylets appropriate for size of patient
    • Defibrillator/automated external defibrillator
    • Suction
    • Emergency cart with all available medications if resuscitation needed
    • Flumazenil and naloxone
  • Apply cardiorespiratory monitor, pulse oximeter, and BP monitor
  • Gather medicines that will be used in procedure, label (preferably color-coded) syringes, and place at bedside.
  • Apply oxygen delivery device (cannula or mask) and keep oxygen saturation >95%.
Sedation Agents and Techniques
  • Can be administered by various means
  • Administer local or regional anesthesia if applicable.
  • Perform the procedure.
  • Closely observe and monitor patient during entire course of procedure as well as the recovery period afterward.
  • Monitor patient until awake, alert, and back to baseline function.

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Citation

* When formatting your citation, note that all book, journal, and database titles should be italicized* Article titles in AMA citation format should be in sentence-case
TY - ELEC T1 - Procedural Sedation ID - 307200 Y1 - 2016 PB - 5-Minute Emergency Consult UR - https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307200/all/Procedural_Sedation ER -