Procedural Sedation
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Moderate And Deep Sedation In Clinical Practice
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Author : Richard D. Urman
language : en
Publisher: Cambridge University Press
Release Date : 2017-10-12
Moderate And Deep Sedation In Clinical Practice written by Richard D. Urman and has been published by Cambridge University Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2017-10-12 with Medical categories.
A concise, practical handbook giving up-to-date, evidence-based, 'how-to' guidance on safe and effective procedural sedation.
Moderate Procedural Sedation And Analgesia E Book
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Author : Michael Kost
language : en
Publisher: Elsevier Health Sciences
Release Date : 2019-03-09
Moderate Procedural Sedation And Analgesia E Book written by Michael Kost and has been published by Elsevier Health Sciences this book supported file pdf, txt, epub, kindle and other format this book has been release on 2019-03-09 with Medical categories.
Introducing the definitive resource designed for practitioners working in the rapidly expanding area of moderate procedural sedation and analgesia clinical practice. Moderate Procedural Sedation and Analgesia: A Question and Answer Approach focuses on the preprocedural, procedural, and postprocedural care of the moderately sedated patient in a variety of settings. This comprehensive text is designed to provide all the content and tools nurses and other clinicians need to demonstrate competency in moderate sedation and analgesia. Additionally, this user-friendly text is written by well-known sedation/analgesia expert, Michael Kost and recommended by standards of practice from the ANA, AORN, and the American Academy of Pediatrics. New clinically focused text ensures clinicians involved in the administration and management of patients receiving moderate sedation have access to the most up-to-date information. Strong safety focus throughout the book explains how technology and clinician practice can improve sedation administration. Chapters organized in clinical problem/question plus answer format help you easily comprehend material. Follows the latest TJC Sedation/Anesthesia Guidelines ensuring you are ready for medication administration in clinical practice. Pediatrics and Geriatrics chapters cover specific sedation practice recommendations that address the substantive clinical practice challenges associated with these patient populations. Pharmacologic profiles of medications detail their use in the moderate sedation practice setting.
Procedural Sedation
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Author : Benjamin Grossmann
language : en
Publisher: Linköping University Electronic Press
Release Date : 2019-05-13
Procedural Sedation written by Benjamin Grossmann and has been published by Linköping University Electronic Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2019-05-13 with categories.
Background: Safety and effectiveness are fundamental principles within the healthcare sector to provide quality of care and health improvement for patients. By ensuring that care is provided based on evidence-based knowledge, risks and complications can be minimised and the use of scarce resources optimised. An increasing demand for diagnostic and therapeutic procedures challenges the traditional methods for sedation regarding safety and effectiveness. It is desirable that the fundamental principles are improved when refining existing or developing new sedation methods. In this doctoral thesis, safety and effectiveness were evaluated for adult patient-controlled sedation (PCS) using propofol during two endoscopic procedures: endoscopic retrograde cholangiopancreaticography (ERCP) and flexible bronchoscopy (FB); and different doses of rectal racemic ketamine for paediatric (< 4 years) burn wound care. Methods: Data on vital functions, sedation level, safety interventions, procedure feasibility, patient-reported outcome and experience measures, and recovery, from three clinical randomised controlled trials were collected. Costs of sedation for the endoscopic procedures were compiled in a cost-analysis study. Results: PCS with propofol and bedside anaesthetic personnel was shown to be a safe and effective alternative method of sedation during ERCP and FB compared with intravenous sedation with midazolam. The PCS method gives stable cardiorespiratory conditions with few adverse events and interventions, with a low risk of oversedation. PCS offers similar (FB) or better (ERCP) procedure feasibility and patient satisfaction during the procedures than midazolam. Recovery after PCS is quick, minimises the risk for prolonged hospitalisation and is thereby a potential cost-saving sedation method. The optimal dose of rectal racemic ketamine, 6 mg/kg with the addition of 0.5 mg/kg midazolam during severely painful procedures, gives minimal risk for outbreaks of pain, offers stable vital signs conditions and allows rapid recovery without affecting procedure feasibility. Conclusions: The sedation method can be adjusted to type of procedure and patient population. PCS with propofol offers an alternative and reliable method for adult sedation during endoscopic procedures, whereas rectal racemic ketamine combined with midazolam provides good conditions for burn care dressing procedures in young children.
Essential Emergency Procedural Sedation And Pain Management
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Author : Rahim Valani
language : en
Publisher: Lippincott Williams & Wilkins
Release Date : 2012-10-16
Essential Emergency Procedural Sedation And Pain Management written by Rahim Valani and has been published by Lippincott Williams & Wilkins this book supported file pdf, txt, epub, kindle and other format this book has been release on 2012-10-16 with Medical categories.
Procedural sedation is commonly used in the emergency department for patients undergoing painful procedures such as fracture reduction or electrical cardioversion. The fourth volume in the Essential Emergency Medicine series, Essential Emergency Procedural Sedation and Pain Management provides a unique interprofessional perspective on delivering procedural sedation and analgesia. The book is designed for staff physicians, residents, nurses, professionals, and allied health care workers. Although procedural sedation is commonly employed and recognized as a required skill set for emergency physicians, there is a lack of appropriate education in the area, and this book bridges gaps in training, especially in the interprofessional team setting.
Patient Controlled Sedation In Procedural Care
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Author : Andreas Nilsson
language : en
Publisher: Linköping University Electronic Press
Release Date : 2014-11-24
Patient Controlled Sedation In Procedural Care written by Andreas Nilsson and has been published by Linköping University Electronic Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2014-11-24 with Anesthesia categories.
The need for procedural sedation is extensive and on the increase in numbers of patients. Minor treatments or diagnostic procedures are being performed with inadequate sedation or even without any sedatives or analgesics. Also, sedation techniques that support advanced, high-quality, in-patient care procedures representing easy performance and rapid recovery are requested for increased effectiveness. In this doctoral thesis, patient-controlled sedation (PCS) using propofol and alfentanil for surgical and diagnostic procedures was studied. The overall aim was to study aspects of safety, procedural feasibility and patients’ experiences. The main hypothesis was that PCS using only propofol is a safe and effective method for the induction and maintenance of moderate procedural sedation. The studies included were prospective, interventional, and in some cases, randomized and double-blinded. Data on cardiopulmonary changes, level of conscious sedation (bispectral index and Observer’s assessment of alertness/sedation [OAA/S]), pain, discomfort, anxiety, nausea (visual analogue scales), interventions performed by nurse anaesthetists, surgeons’ evaluation of feasibility, procedure characteristics, recovery (Aldrete score) and pharmacokinetic simulation of concentrations of drugs at the effect site supported the analysis and comparison between PCS and anaesthetist-controlled sedation and propofol PCS with or without alfentanil. PCS can be adjusted to cover a broad range of areas where sedation is needed, which, in this thesis, included burn care, gynaecological out-patient surgery and endoscopic procedures for the diagnosis and treatment of diseases in the bile ducts (endoscopic retrograde cholangiopancreatography [ERCP]). PCS for burn wound treatment demands the addition of alfentanil, but still seems to be safe. PCS was preferred by the patients instead of anaesthetist-controlled sedation. The addition of alfentanil to PCS as an adjunct to gynaecological surgical procedures also using local anaesthesia increases the surgeon’s access to the patients, but impairs safety. Apnoea and other such conditions requiring interventions to restore respiratory function were seen in patients receiving both alfentanil and propofol for PCS. Patients’ experiencing perioperative pain and anxiety did not explain the effect-site concentrations of drugs. Different gynaecological procedures and patients’ weights seemed to best explain the concentrations. For discomfort and pain during the endoscopic procedure (ERCP), propofol PCS performs almost the same as anaesthetist-performed sedation. Overall, as part of the pre-operative procedures, PCS does not seem to be time-consuming. In respect to the perioperative perspective, PCS supports rapid recovery with a low incidence of tiredness, pain, and post-operative nausea and vomiting (PONV). The data suggest that PCS further needs to be adapted to the patient, the specific procedure and the circumstances of sedation for optimal benefit and enhanced safety.
The Pediatric Procedural Sedation Handbook
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Author : Cheryl K. Gooden
language : en
Publisher: Oxford University Press, USA
Release Date : 2018
The Pediatric Procedural Sedation Handbook written by Cheryl K. Gooden and has been published by Oxford University Press, USA this book supported file pdf, txt, epub, kindle and other format this book has been release on 2018 with Medical categories.
The Pediatric Procedural Sedation Handbook provides a comprehensive but concise review of the essential information needed to allow for the safe practice of pediatric procedural sedation. Written by a group of multidisciplinary authors, this text explores the fundamentals of sedation, procedural sedation, special patient considerations, diagnostic and therapeutic procedures, and more. This book is a must-read for any clinician involved in modern, team-based patient-centered care, including physicians, nurses, dentists, and child life specialists.--
Pediatric Procedural Sedation And Analgesia
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Author : Robert M. Brustowicz
language : en
Publisher:
Release Date : 1999
Pediatric Procedural Sedation And Analgesia written by Robert M. Brustowicz and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1999 with Medical categories.
Pediatric sedation in the ambulatory setting by non-anesthesiologists is becoming more commonplace, and can be safely accomplished with the right information. This handbook reflects the combined insights of specialists in emergency medicine and anesthesiology, with practical guidelines that show readers the safest and most effective methods. Coverage begins with scientific foundations and continues through management strategies and finally through specific procedures.
Moderate Sedation Analgesia
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Author : Michael Kost
language : en
Publisher: Elsevier Health Sciences
Release Date : 2004-02-27
Moderate Sedation Analgesia written by Michael Kost and has been published by Elsevier Health Sciences this book supported file pdf, txt, epub, kindle and other format this book has been release on 2004-02-27 with Medical categories.
This 2nd edition focuses on the preprocedural, procedural, and postprocedural care of the moderately sedated patient. It is designed for any clinician involved in the administration of moderate sedation and written by a clinician involved in the practice on a daily basis. The primary focus of this new edition is to provide all the content and tools necessary to demonstrate competency in moderate sedation/analgesia. Includes a greater focus on the core competencies necessary for clinical practice. Concept Checks are integrated throughout to help the learner assess the mastering of the content presented. Includes the recommended standards of practice from the ANA, AORN, American Academy of Pediatrics, and JCAHO's Sample Policies & Procedures. Contains sample clinical competencies for moderate sedation so the book can be used as a study guide and measurement tool. Incorporates throughout important information on the specific moderate sedation parameters of the pediatric and geriatric patients addressing preprocedural assessment, physiologic variations, pharmacologic considerations and sedative techniques. Includes a comprehensive pharmacologic profile of each medication used in the moderate sedation practice setting. Follows a recommended 'core curriculum' format, but each idea and concept are discussed in detail. Increased integration of actual Clinical Scenarios facilitates the application of content knowledge and utilization of critical thinking skills. Integration of herbal preparations and their impact on pre-sedation care. Latest JCAHO Sedation/Anesthesia Guidelines (2004) incorporated throughout. A larger trim size (8.5 x 11) provides more of a 'manual' feel and allows the reader to make notes and work through various tools throughout the book.
Procedural Sedation For Infants Children And Adolescents
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Author : American Academy of Pediatrics. Section on Anesthesiology and Pain Medicine
language : en
Publisher:
Release Date : 2015
Procedural Sedation For Infants Children And Adolescents written by American Academy of Pediatrics. Section on Anesthesiology and Pain Medicine and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2015 with MEDICAL categories.
Pediatric Sedation Outside Of The Operating Room
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Author : Keira P. Mason
language : en
Publisher: Springer
Release Date : 2014-10-11
Pediatric Sedation Outside Of The Operating Room written by Keira P. Mason and has been published by Springer this book supported file pdf, txt, epub, kindle and other format this book has been release on 2014-10-11 with Medical categories.
This is a major revision, updating, and expansion of the leading single-source volume on pediatric sedation outside of the operating room. Edited and written by an international roster of outstanding experts, it is the only book aimed at the broad range of specialists who deliver pediatric sedation in the non-OR setting. The Second Edition features a significant expansion of contributions from international leaders and individual new chapters on pre-sedation assessment; sedatives’ short- and long-term effects on neurocognition; non-pharmacologic distractions; Michael Jackson’s death and medical ethics; the role of simulation in safety and training; and palliative sedation in terminally ill children. The specialty-specific chapters continue to be geared toward all sedation providers, regardless of where they practice and patient safety is again emphasized. Fundamental chapters provide in-depth reviews of topics which include, among others, physiology and pharmacology. The book presents the latest guidelines across the specialties, both in the United States and abroad and noteworthy, ongoing research endeavors. From reviews of the First Edition: “This meritorious volume is a splendid collection of materials from highly experienced authors...I will make extensive use of this reference as the academic medical center in which I work continues to build sedation practices and assess credentialing/privileging aspects for professionals of all fields.” —Joseph R. Tobin, MD in Journal of the American Medical Association. “Brings together sedation practice from a broad range of specialties into one well-written pediatric text...I will certainly be using this book as a reference text in the future.” — Pediatric Anesthesia. “The first [text] directed at all specialists that treat children who require some sedation...also recognizes the contributions to pediatric sedation of many international societies and governmental organizations...It should be on the shelves of all office-based practices.” —Journal of Neurosurgical Anesthesiology. "With the ever-increasing opportunities to perform various investigations and therapeutic procedures, combined with increasing demands and expectations from children and their parents, the need and demand for safe and effective sedation of paediatric patients outside the operating room is increasing. Against this background, the second edition of ‘Pediatric Sedation Outside the Operating Room’ is a very timely addition to the anaesthesia literature."—British Journal of Anesthesia
