Risk factors for sedation‐related events during procedural sedation in the emergency department

Abstract

Sedation-related events, especially airway events, are common but very rarely have an adverse outcome. Elderly patients, deeply sedated with short-acting agents, are at particular risk. The results will help tailor sedation to individual patients.

Pre-procedural fasting for coronary interventions: is it time to change practice?

“…However, a prospective multicentre emergency department study of 2623 patients by Taylor et al 15 revealed 461 patients experienced at least one airway event requiring intervention. Only one of the 34 patients who vomited developed aspiration pneumonia following sedation use.…”

Procedural sedation practices in Australian Emergency Departments

“…The present study aimed to determine the nature of contemporary procedural sedation practice in Australian EDs. The results, in conjunction with other components of the project including adverse events 28 and failed procedures, 29 will inform the development of Australian PSA guidelines.…”

Comparison of two analgesia protocols for the treatment of pediatric orthopedic emergencies

“…5 Ketamine administered by intravenous or intramuscular routes, even as a single drug, has been indicated as a safe and effective alternative for rapid analgesia. 6,10,27,28 In a systematic review of randomized trials of analgesia and sedation for reduction of fractures in children at a PEU, ketamine/ midazolam proved to be more effective as an analgesic and had fewer adverse effects than combinations of fentanyl/midazolam or propofol/midazolam. 1,2,4,5,15,25 When the level of satisfaction of parents and orthopedists were analyzed with analgesia for the orthopedic procedure, it was found that levels were quite high.…”