Procedural sedation in Emergency Medicine 2018 - Reference

…used to produce sedation The indications for the use of conscious sedation The particular risks of multiple drug sedation techniques   Can outline the unpredictable nature of sedation techniques in children Skills Can demonstrate the ability to:Select patients for whom sedation is appropriate part of clinical management Explain sedation to…

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Adult Procedural Sedation - Reference

…a distinction between average and personalised risk made [3]. Alternatives to sedation (typically general anaesthesia or local anaesthesia with behavioural techniques) should be explained also. Verbal consent may be sufficient but should be recorded in the patients clinical notes. Level of sedationParameter Minimal sedation (Anxiolysis) Moderate Sedation (Conscious Sedation) Deep…

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Ketamine Sedation in Children - Reference

…with timely analysis by a named departmental sedation lead. Risk management In the audit process consider: Was a specific sedation monitoring chart used? Were the indications for ketamine sedation appropriate? Were any contra-indications acknowledged? What complications arose and how were they managed? Pre-emptive strategies might also include: Ready access to…

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A Primer on Procedural Sedation - Podcast

…Further References: ACEP 2014 Clinical Policy on Sedation Reuben Strayers Trilogy on Procedural Sedation EMCrit on Procedural Sedation Miner JR, Gray RO, Stephens D, Biros MH. Randomized clinical trial of propofol with and without alfentanil for deep procedural sedation in the emergency department. Acad Emerg Med. 2009 Sep;16(9):825-34 PMID 19845550…

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Propofol for Procedural Sedation in Adults - Learning Session

…medicine: further evidence of safety. Emerg Med Aust 2007;19:389-393. Green SM. Research advances in procedural sedation and analgesia. Ann Emerg Med 2007;49:31-36. Miner JR, Burton JH. Clinical practice advisory: emergency department procedural sedation with propofol. Ann Emerg Med 2007;50:182-187. The Royal College of Anaesthetists. Safe Sedation of Adults in the…

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Safe Sedation Procedures in Adults - Learning Session

…skills, facilities and equipment required to perform safe emergency department procedural sedation. Commonly used sedation agents and some of their qualities are described By the end of this session you will be able to: Discuss the indications for procedural sedation Identify at risk patients Identify which pharmacological agent is most…

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Procedural Sedation in Emergency Medicine 2018 - Learning Session

…Soc J 1985;32:429 ACEP 2014 policy Newman DH et al. When is a patient safe for discharge after procedural sedation? The timing of adverse effect events in 1,367 paediatric procedural sedations. Ann Emerg Med 2003; 42:627-635 Godwin SA, Caro DA, et al. Clinical Policy: Procedural Sedation and Anaesthesia in the…

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Ketamine Sedation in Children - Learning Session

…of vomiting associated with ketamine sedation in children: a double-blind, randomized, placebo-controlled trial. Ann Emerg Med 2008;52:30-34. Newman DH, Azer MM, Pitetti RD et al. When is a patient safe for discharge after procedural sedation?  The timing of adverse effect events in 1,367 paediatric procedural sedations. Ann Emerg Med 2003;42:627-635….

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September 2016: New in EM - Podcast

…i reach for the propofol and fentanyl in this group. Midazolam ‘dirty drug’ I tend to try and avoid using these days. Choice of rigid dosing for sedation rather than use a sedation scale to achieve the level of sedation they want – could this account for the pain scores…

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February 2018 - Podcast

…Median ketamine dose 1.5 (1-2) mg/kg Dose not associated with SAE or interventions Was associated with desaturation (OR1.3) and vomiting (OR 1.3) Sedation duration & LOS: Propofol shortest sedation duration (median 51mins) and LOS (median 67mins) Ketamine/fentanyl longest sedation duration (177mins) and LOS (132mins) Bottom Line ED procedural sedation of…

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