A 38-year-old man presented to our emergency room with severe pain and inability mobilize his right shoulder joint after a violent blunt trauma during work. The humeral head was palpable anteriorly, the loss of normal contour deltoid acromion prominent posteriorly laterally, as it occurs in anterior dislocation. easily reduced on 1st attempt using 1.5 mg/kg intravenous fentanyl 0.5 mg/Kg midazo...

BACKGROUND Volatile sedation in the intensive care unit (ICU) may reduce the number of adverse events and improve patient outcomes compared with intravenous (IV) sedation. We performed a systematic review and meta-analysis comparing the effects of volatile and IV sedation in adult ICU patients. METHODS We searched the PubMed, Embase, Cochrane Central Register, and Web of Science databases for...

Practical Conscious Sedation offers the ability to provide effective and safe dental treatment under different types of conscious sedation techniques. Sometimes, it is impossible to provide dental treatment for patients with a real fear of dentistry or patients with medically compromised conditions. Control of anxiety and pain is fundamental to the practice of dentistry. Basic sedation techniqu...

Rather than relying solely on subjective pain evaluation using means such as the visual analogue scale (VAS), in clinical situations it is possible to observe evoked responses of the autonomic nervous system (ANS) as objective indicators. Few studies, however, have reported these relationships under finely controlled sedation. 16 healthy male participants were administrated in intravenous sedat...

Objective: To evaluate the efficiency and effectiveness of the sedation practice adopted for paediatric patients undergoing magnetic resonance imaging examination in a local hospital in Hong Kong. Materials and Methods: 120 consecutive children with a mean age of 3.2 years (range, 13 days to 13 years) undergoing magnetic resonance imaging and requiring sedation were audited. The types and route...

T technique of intravenous sedation with a benzodiazepine is a well documented and successful method for reducing fear and anxiety in many patients who regard dental treatment as challenging and potentially painful. One of the most important factors to achieving a well sedated patient is ensuring the dose of the drug given is titrated to the individual patient. Five years ago, a Rapid Response ...

OBJECTIVE To determine the depth of sedation required for bone marrow aspiration and intrathecal injection of chemotherapeutic agents in children using a bispectral (BIS) index monitor and clinical assessment by an independent observer. METHODS Sixteen children who were undergoing 19 intrathecal chemotherapy and bone marrow aspirations were enrolled in the study. Their ages ranged from 23 mon...

STUDY OBJECTIVE The primary objective is to compare total sedation time when ketamine/propofol is used compared with ketamine alone for pediatric procedural sedation and analgesia. Secondary objectives include time to recovery, adverse events, efficacy, and satisfaction scores. METHODS Children (aged 2 to 17 years) requiring procedural sedation and analgesia for management of an isolated orth...