Procedural sedation in the emergency centre

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Procedural sedation in the emergency centre.

BACKGROUND The performance of safe and effective procedural sedation in the emergency centre has become a core competency in emergency medicine internationally. However, in South Africa clear guidelines are lacking and this guideline attempts to set out the standard for the routine safe use of procedural sedation by clinical staff in emergency centres. METHOD The Emergency Medicine Society of...

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Pre-procedural fasting in emergency sedation.

Emergency physicians frequently undertake emergency procedural sedation in non-fasted patients. At present, no UK guidelines exist for pre-procedural fasting in emergency sedation, and guidelines from the North American Association of Anesthesiologists (ASA) designed for general anaesthesia (GA) are extrapolated to emergency care. A systematic review of the literature was conducted with the aim...

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Procedural sedation in the ICU and emergency department.

PURPOSE OF REVIEW Procedures are increasingly being performed in the acute care setting, outside of the operating rooms (OR). This article aims to review the current literature on out-of-OR procedural sedation with a focus on the ICU and emergency department, highlighting the following topics: multidisciplinary team approach, choice of pharmacologic agent, sedation scales, current safety guidel...

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Propofol for procedural sedation in the emergency department.

OBJECTIVES To observe procedural sedation practice within a district general hospital emergency department (ED) that uses propofol for procedural sedation. METHODS Prospective observation of procedural sedation over an 11 month period. Patients over 16 years of age requiring procedural sedation and able to give informed consent were recruited. The choice of sedation agent was at the discretio...

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Procedural sedation and analgesia in the emergency department.

PURPOSE OF REVIEW Procedural sedation and analgesia is frequently administered outside of the operating room in emergency departments (EDs) and ICUs. Evidence was sought concerning patients' safety in the ED. RECENT FINDINGS Procedural sedation, when administered in the ED by trained personnel, is safe. Extensive literature demonstrates that propofol, ketamine, midazalam, and fentanyl are app...

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ژورنال

عنوان ژورنال: South African Medical Journal

سال: 2011

ISSN: 2078-5135

DOI: 10.7196/samj.4418