RT Book, Section
A1 Reichman, Eric F.
SR Print(0)
ID 57714152
T1 Chapter 129. Procedural Sedation and Analgesia (Conscious Sedation)
T2 Emergency Medicine Procedures, 2e
YR 2013
FD 2013
PB The McGraw-Hill Companies
PP New York, NY
SN 978-0-07-161352-1
LK accessemergencymedicine.mhmedical.com/content.aspx?aid=57714152
RD 2024/04/20
AB Procedural  sedation  and  analgesia  (PSA)  techniques  are  an  essential  skill  for  any  Emergency  Physician.  The  daily  practice  of  Emergency  Medicine  employs  painful  and  anxiety-provoking  measures  to  perform  diagnostic  testing  or  therapeutic  interventions.  These  skills  not  only  apply  to  the  Emergency  Physician,  but  to  the  individual  healthcare  provider  monitoring  the  procedure  as  well.  PSA  is  a  skill  that  may  require  a  credentialing  process  at  some  institutions.  It  probably  has  evoked  a  written  procedural  guide  in  most  hospitals  and  Emergency  Departments,  with  or  without  the  input  from  a  hospital-wide  PSA  committee  or  the  Department  of  Anesthesiology.  PSA  certification  may  require  annual  competency  assessments  in  the  form  of  a  written  examination  or  practical  scenarios.  PSA  is  a  technique  that  probably  receives  a  great  deal  of  attention  from  the  continuous  quality  improvement  committee  as  a  result  of  The  Joint  Commission's  directive.  It  is  a  skill  that,  with  proper  training  and  well-designed  application  principles,  will  provide  the  patient  and  their  families  with  a  sense  of  compassion  and  caring  for  their  physical  and  emotional  distress.  PSA  is  a  skill  that  may  also  result  in  horrific  outcomes  when  performed  without  appropriate  training,  knowledge,  risk–benefit  analysis,  and  anticipation  of  complications.