Clinical practice advisory: Emergency department procedural sedation with propofol.
نویسندگان
چکیده
We present an evidence-based clinical practice advisory for the administration of propofol for emergency department procedural sedation. We critically discuss indications, contraindications, personnel and monitoring requirements, dosing, coadministered medications, and patient recovery from propofol. Future research questions are considered.
منابع مشابه
Fasting and emergency department procedural sedation and analgesia: a consensus-based clinical practice advisory.
Emergency physicians frequently administer procedural sedation and analgesia to nonfasted patients; however, they currently have no specific guidelines to aid them in preprocedural risk stratification. We assembled a committee of leading emergency physician sedation researchers to develop a consensus-based clinical practice advisory for this purpose. Our goal was to create a tool to permit emer...
متن کاملPropofol 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...
متن کاملImpact of the United States propofol ban on emergency providers' procedural sedation agent choice and patient length of stay.
BACKGROUND In the recent past, propofol was temporarily removed from the emergency department (ED) for use in procedural sedation. We sought to determine which agents replaced it in clinical practice and the impact this change had on turnaround times (TAT) for sedated patients. METHODS This study is a retrospective chart review at a level one trauma center. Patients receiving sedative agents ...
متن کاملClinical policy: procedural sedation and analgesia in the emergency department.
This clinical policy from the American College of Emergency Physicians is the revision of a 2005 clinical policy evaluating critical questions related to procedural sedation in the emergency department.1 A writing subcommittee reviewed the literature to derive evidence-based recommendations to help clinicians answer the following critical questions: (1) In patients undergoing procedural sedatio...
متن کاملProcedural 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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ورودعنوان ژورنال:
- Annals of emergency medicine
دوره 50 2 شماره
صفحات -
تاریخ انتشار 2007