background and purpose: suitable sedation during gastrointestinal (gi) tract endoscopy leads to the patient’s and the physician’s satisfaction and enhances the quality and the adequacy of the procedure. materials and methods: in a clinical trial, 140 patients were randomly assigned into two groups in order to compare the adequacy of upper gi tract endoscopy after choosing the type of sedation b...

BACKGROUND Acute behavioural disturbance (ABD) is an increasing problem in emergency departments. This study aimed to determine the impact of a structured intramuscular (IM) sedation protocol on the duration of ABD in the emergency department. METHODS A historical control study was undertaken comparing 58 patients who required physical restraint and parenteral sedation with the structured IM ...

BACKGROUND Sevoflurane and ketamine are commonly used to obtain sedation and facilitate intravenous anesthetic induction in children undergoing cardiac surgery who are uncooperative. We used a new and direct systemic hemodynamic monitoring technique pressure recording analytical method and compared the hemodynamic effects of sevoflurane and ketamine to facilitate intravenous anesthetic inductio...

The study compared the effectiveness of ketamine and midazolam/fentanyl as procedural sedation and analgesia agents for reduction of fractures and dislocated joints. Forty-one adult patients were enrolled by convenience sampling. They were randomized to receive ketamine or midazolam/fentanyl. Depth of sedation, pain score, procedural outcome and memory of the procedure were documented. The keta...

Recent evidence revealed that sedation is related to adverse outcomes including a higher mortality. Despite this fact, patients sometimes require deep sedation for a limited period of time to control, for example, intracranial hypertension. In particular in these cases, weaning from sedation is often challenging due to emerging agitation, stress, and delirium. The submitted research letter repo...

Objectives. To review our sedation practice and to evaluate the clinical effectiveness of an anesthesiologist-administered intravenous sedation outside of the main operating room for pediatric upper gastrointestinal endoscopy (UGIE) in Thailand. Subjects and Methods. We undertook a retrospective review of the sedation service records of pediatric patients who underwent UGIE. All endoscopies wer...

INTRODUCTION:
 The most common dislocation presenting to emergency department is anterior shoulder dislocation. Posterior dislocations and inferior are rare. Dislocations of the mostly occur with position arm abducted externally rotated. This results in injury humeral head, labrum, capsuloligamentous structures glenoid. Such patients experience severe pain, therefore prompt reduction neces...

conclusions intravenous administration of paracetamol immediately after knee arthroscopy improved postoperative pain, decreased analgesic administration, maintained stable hemodynamic parameters, had no complications related to opiates, no nausea and vomiting, and increased patient satisfaction and comfort in comparison to pca with morphine. results there was no significant difference regarding...

BACKGROUND The objective of the present study was to examine the status of patients who had received dental treatment under intravenous (IV) sedation at Chungnam Dental Clinic for the Disabled in Korea from its inception to the present time, and to review the analysis results. METHODS Retrospective analysis was performed on 305 cases of patients who had received dental treatments under IV sed...