RT Book, Section
A1 Weaver, Chris
A2 Tintinalli, Judith E.
A2 Stapczynski, J. Stephan
A2 Ma, O. John
A2 Yealy, Donald M.
A2 Meckler, Garth D.
A2 Cline, David M.
SR Print(0)
ID 1121503374
T1 Procedural Sedation
T2 Tintinalli’s Emergency Medicine: A Comprehensive Study Guide, 8e
YR 2016
FD 2016
PB McGraw-Hill Education
PP New York, NY
SN 9780071794763
LK accessemergencymedicine.mhmedical.com/content.aspx?aid=1121503374
RD 2024/04/19
AB Procedural  sedation  is  the  administration  of  sedatives  or  dissociative  anesthetics  to  induce  a  depressed  level  of  consciousness  while  maintaining  cardiorespiratory  function  so  that  a  medical  procedure  can  be  performed  with  little  or  no  patient  reaction  or  memory.1  Procedural  sedation  and  analgesia  is  the  addition  of  agents  to  reduce  or  eliminate  pain.1  Levels  of  sedation  are  defined  by  the  patient's  level  of  responsiveness  and  cardiopulmonary  function,  not  by  the  agents  used  (Table  37-1).2  By  definition,  patients  receiving  procedural  sedation  do  not  require  routine  airway  protection  with  endotracheal  intubation  or  other  airway  adjuncts,  as  opposed  to  general  anesthesia,  which  typically  requires  airway  protection.  Procedural  sedation  is  commonly  done  for  scheduled  outpatient  medical  procedures  by  nonanesthesiologists3,4  and  is  an  accepted  technique  in  emergency  medicine.5,6,7,8  Procedural  sedation  performed  in  the  ED  presents  different  issues  to  the  practitioner  than  scheduled  outpatient  sedation  (Table  37-2).1,7,8