Procedural sedation practices in Australian Emergency Departments

Abstract

Procedural sedation practice across Australian EDs is varies considerably. Procedural sedation 'best practice' guidelines, based upon the findings of the present study and the available evidence, are recommended.

A qualitative study of the barriers to procedural sedation practices in paediatric emergency medicine in the UK and Ireland

“…While numerous guidance and policy documents exist from international bodies, there remains a lack of uniformity and consistency of PS practices within EDs 2 3. EM practitioners possess a specific skill set required for the management of airway and ventilation in patient rescue, making EM practitioners ideally placed to provide all levels of sedation 4.…”

Association between ASA grade and complication rate in patients receiving procedural sedation for relocation of dislocated hip prostheses in a UK emergency department

“…This large dataset adds to the growing literature on procedural sedation for the closed reduction of prosthetic hip dislocation 11. The ASA grade does not appear to be the main determinant of the risk of complications.…”

Additive effect of propofol and fentanyl precipitating cardiogenic shock

“…The development of advanced technology in the line of treatment such as extracorporeal life support (ELS), a variation of cardiopulmonary bypass, can improve the outcomes of cardiogenic shock. [2] Although propofol and fentanyl are known to depress the myocardial function with reduced left ventricular ejection fraction (LVEF),[34] cardiogenic shock is not yet reported when the patients are treated with these drugs. This case has been reported to create awareness among the prescribers to evaluate and manage the outcome of critical clinical situation during administration of these drugs.…”