Procedural sedation for adult patients: an overview

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چکیده

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A combination of midazolam and ketamine for procedural sedation and analgesia in adult emergency department patients.

OBJECTIVE To describe the clinical characteristics of a combination of midazolam and ketamine for procedural sedation and analgesia in adult emergency department (ED) patients. METHODS This was a prospective, observational trial, conducted in the ED of an urban level II trauma center. Patients > or = 18 years of age requiring procedural sedation and analgesia were eligible, and enrolled patie...

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Pharmacology of Procedural Sedation

M unpleasant, uncomfortable, and painful procedures take place throughout various areas in the hospital, including the emergency department, intensive care units, general medicine floors, and procedural areas. These procedures can include, but are not limited to, cardioversion, orthopedic injury reduction, burn debridement, endoscopy, bronchoscopy, and interventional imaging.1,2 Patients may ex...

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What Works and What's Safe in Pediatric Emergency Procedural Sedation: An Overview of Reviews

BACKGROUND Sedation is increasingly used to facilitate procedures on children in emergency departments (EDs). This overview of systematic reviews (SRs) examines the safety and efficacy of sedative agents commonly used for procedural sedation in children in the ED or similar settings. METHODS We followed standard SR methods: comprehensive search; dual study selection, quality assessment, data ...

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Dexmedetomidine and ketamine: an effective alternative for procedural sedation?

OBJECTIVES Although generally effective for sedation during noninvasive procedures, dexmedetomidine as the sole agent has not been uniformly successful for invasive procedures. To overcome some of the pitfalls with dexmedetomidine as the sole agent, there are an increasing number of reports regarding its combination with ketamine. This article provides a descriptive account of the reports from ...

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ژورنال

عنوان ژورنال: Continuing Education in Anaesthesia Critical Care & Pain

سال: 2012

ISSN: 1743-1816

DOI: 10.1093/bjaceaccp/mks016