Practice Guidelines for Moderate Procedural Sedation and Analgesia 2018

doi:10.1097/aln.0000000000002043

Cited by 356 publications

(72 citation statements)

References 151 publications

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“…The collection of outcomes is not limited only to deep sedation or monitored anesthesia care, but also extends even to moderate depths of sedation. To date, all published outcome data has represented retrospective reviews of outcome data collected by specific groups of sedation providers, usually representing a single specialty, sedative agent, patient population (adults or children), and occasionally representing a group of varied specialists [2,6,22,[37][38][39][40][41][42][43][44][45][46][47]. The data has almost always represented either pediatrics or adult patients, never representing sedation in both populations across continents.…”

Section: Discussionmentioning

confidence: 99%

Results from the Adverse Event Sedation Reporting Tool: A Global Anthology of 7952 Records Derived from >160,000 Procedural Sedation Encounters

Mason

Roback

Chrisp

et al. 2019

JCM

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Background: The incidence of sedation-related adverse events, inclusive of both adults and children, administered by multiple specialty providers from different countries and venues, using standardized definitions, has never been reported on an international level. We are reporting the outcome data of the adverse event sedation reporting tool as an important step toward a more complete risk assessment of sedation-related morbidity, mortality, and etiology. The analysis of the AE sedation reporting data include descriptive measures to evaluate the characteristics of the provider, the patient, sedations performed, adverse events, interventions, and outcomes. The primary outcome was the rate and nature of adverse events. Between 12/14/2010 and 12/11/2018 there were 7952 sedations, from an estimated total of 164,114 sedations administered, of which 622 were reported as adverse events. The mean age of the entire patient population is 33.0 years (0.02-98.7). The providers represented 39 countries across six continents. Oxygen desaturation (75%-90%) for <60 s is the most prevalent adverse event with a rate of 7.8 per 10,000, followed by airway obstruction at a rate of 5.42 per 10,000. Apnea occurred at a rate of 4.75 per 10,000. Significant predictors of adverse events are ≥ ASA score III (p = 0.0003), procedure time (6:00 pm-12:00 am: p < 0.0001, 12:00-6:00 am: p = 0.0003), and non-hospital location (p < 0.0001). The AE sedation reporting tool has demonstrated that the majority of adverse events in children and adults who receive procedural sedation from multi-specialists internationally required minor interventions and had outcomes of minor risk.

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Section: Discussionmentioning

confidence: 99%

Results from the Adverse Event Sedation Reporting Tool: A Global Anthology of 7952 Records Derived from >160,000 Procedural Sedation Encounters

Mason

Roback

Chrisp

et al. 2019

JCM

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“…This combination is discussed in current guidelines on paediatric procedural sedation but they do not specifically recommend dosage ranges. 18,19 This study, therefore, provides useful data that will assist the clinician in achieving optimal and safe sedation before anaesthesia. The study is limited by the bias inherent in each of the underlying trials, however, in general the quality of the included trials was high.…”

Section: Discussionmentioning

confidence: 99%

Ketamine and midazolam as procedural sedation in children : a structured literature review and narrative synthesis

Ramburuth

Rodseth

Reddy

2020

Southern African Journal of Anaesthesia and Analgesia

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In paediatric patients the alleviation of preoperative anxiety is key to ensuring a smooth anaesthetic, and studies have shown that a pleasant induction is able to prevent adverse postoperative behavioural changes. Oral midazolam and ketamine in combination have been used as premedication to ameliorate this anxiety, but the utility of this combination remains unclear. The authors conducted a systematic review and narrative synthesis of randomised controlled trials testing the effectiveness of the combination of oral midazolam and ketamine versus midazolam alone as preanaesthetic sedation in children aged one to 15 years of age undergoing elective paediatric surgery. Ten trials were included in this analysis. Trials using combinations of midazolam (0.25 to 0.3 mg.kg-1) and ketamine (2 to 3 mg.kg-1) provided higher quality sedation with a similar or better side-effect profile than midazolam 0.5 mg.kg-1 alone, without prolonging recovery time.

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“…Anesthesia Topics for Plastic and Reconstructive Surgery dexmedetomidine), sedatives and analgesics intended for general anesthesia (e.g., propofol, ketamine, and etomidate), recovery care, and creation and implementation of quality improvement processes [22].…”

Section: Anesthesia Techniquesmentioning

confidence: 99%

Anesthesia for Plastic Surgery Procedures

Whizar-Lugo¹,

Cárdenas-Maytorena²

2019

Anesthesia Topics for Plastic and Reconstructive Surgery

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Plastic surgery is currently more popular and available with increasing frequency throughout the world. Its advances are related to progress in anesthesiology. Nowadays, it is possible to operate patients with pathologies that previously did not allow this type of surgery. The developments in perioperative monitoring, pharmacology, prevention of complications, and the wide communication between patients and physicians, as well as the development of surgical units that facilitate a prompt programming and reduce the total costs, have resulted in a logarithmic growth of plastic and reconstructive surgery procedures. Local, regional, or general anesthesia, anesthetic monitoring, or conscious sedation is used routinely, allowing to manage patients as ambulatory or short stay. Deep vein thrombosis and pulmonary embolism remain the most frequent complications, followed by postoperative pain, nausea, and vomiting.

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Practice Guidelines for Moderate Procedural Sedation and Analgesia 2018

Abstract: Supplemental Digital Content is available in the text.

Cited by 356 publications

References 151 publications

Results from the Adverse Event Sedation Reporting Tool: A Global Anthology of 7952 Records Derived from >160,000 Procedural Sedation Encounters

Results from the Adverse Event Sedation Reporting Tool: A Global Anthology of 7952 Records Derived from >160,000 Procedural Sedation Encounters

Ketamine and midazolam as procedural sedation in children : a structured literature review and narrative synthesis

Anesthesia for Plastic Surgery Procedures

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