Latest & greatest articles for sedation

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Top results for sedation

65. Second thoughts about palliative sedation

Second thoughts about palliative sedation Second thoughts about palliative sedation | Evidence-Based Nursing We use cookies to improve our service and to tailor our content and advertising to you. You can manage your cookie settings via your browser at any time. To learn more about how we use cookies, please see our . Log in using your username and password For personal accounts OR managers of institutional accounts Username * Password * your user name or password? Search for this keyword (...) Search for this keyword Main menu Log in using your username and password For personal accounts OR managers of institutional accounts Username * Password * your user name or password? You are here Second thoughts about palliative sedation Article Text Editorial Second thoughts about palliative sedation Robert Twycross Correspondence to: Dr Robert Twycross, Emeritus Clinical Reader in Palliative Medicine, University of Oxford, Oxford, UK; rob.twycross{at}spc.ox.ac.uk Statistics from Altmetric.com

2017 Evidence-Based Nursing

66. Conscious sedation in dentistry.

Conscious sedation in dentistry. Conscious sedation in dentistry. | National Guideline Clearinghouse success fail May JUN 09 2017 2018 2019 18 May 2018 - 12 Jul 2018 COLLECTED BY Organization: Formed in 2009, the Archive Team (not to be confused with the archive.org Archive-It Team) is a rogue archivist collective dedicated to saving copies of rapidly dying or deleted websites for the sake of history and digital heritage. The group is 100% composed of volunteers and interested parties, and has (...) have an account? The AHRQ National Guideline Clearinghouse (NGC, guideline.gov) Web site will not be available after July 16, 2018 because federal funding through AHRQ will no longer be available to support the NGC as of that date. For additional information, read our . Guideline Summary NGC:011290 2017 Jun NEATS Assessment Conscious sedation in dentistry. Scottish Dental Clinical Effectiveness Programme. Conscious sedation in dentistry: dental clinical guidance. Dundee (Scotland): Scottish Dental

2017 National Guideline Clearinghouse (partial archive)

67. Advisory on Granting Privileges for Deep Sedation to Non-Anesthesiologist Physicians

Advisory on Granting Privileges for Deep Sedation to Non-Anesthesiologist Physicians 1 Advisory on Granting Privileges for Deep Sedation to Non-Anesthesiologist Physicians Committee of Origin: Quality Management and Departmental Administration (Approved by the ASA House of Delegates on October 20, 2010 and last amended on October 25, 2017) 1. INTRODUCTION The American Society of Anesthesiologists (ASA) is committed to improving patient safety and quality of care in the administration of all (...) anesthesia services including moderate and deep sedation. As such, ASA has concern for any system or set of practices, used either by its members or the members of other disciplines that would adversely affect the safety of anesthesia or sedation administration. ASA has genuine concern that individuals, however well intentioned, who are not anesthesia professionals may not recognize that sedation and general anesthesia are on a continuum, and thus deliver levels of sedation that may, in fact, be general

2017 American Society of Anesthesiologists

68. Effect of Conscious Sedation vs General Anesthesia on Early Neurological Improvement Among Patients With Ischemic Stroke Undergoing Endovascular Thrombectomy: A Randomized Clinical Trial. (PubMed)

Effect of Conscious Sedation vs General Anesthesia on Early Neurological Improvement Among Patients With Ischemic Stroke Undergoing Endovascular Thrombectomy: A Randomized Clinical Trial. Optimal management of sedation and airway during thrombectomy for acute ischemic stroke is controversial due to lack of evidence from randomized trials.To assess whether conscious sedation is superior to general anesthesia for early neurological improvement among patients receiving stroke thrombectomy.SIESTA (...) (Sedation vs Intubation for Endovascular Stroke Treatment), a single-center, randomized, parallel-group, open-label treatment trial with blinded outcome evaluation conducted at Heidelberg University Hospital in Germany (April 2014-February 2016) included 150 patients with acute ischemic stroke in the anterior circulation, higher National Institutes of Health Stroke Scale (NIHSS) score (>10), and isolated/combined occlusion at any level of the internal carotid or middle cerebral artery.Patients were

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2016 JAMA

69. Propofol or Ketofol for Procedural Sedation and Analgesia in Emergency Medicine-The POKER Study: A Randomized Double-Blind Clinical Trial (PubMed)

Propofol or Ketofol for Procedural Sedation and Analgesia in Emergency Medicine-The POKER Study: A Randomized Double-Blind Clinical Trial We determine whether emergency physician-provided deep sedation with 1:1 ketofol versus propofol results in fewer adverse respiratory events requiring physician intervention when used for procedural sedation and analgesia.Consenting patients requiring deep sedation were randomized to receive either ketofol or propofol in a double-blind fashion according (...) to a weight-based dosing schedule. The primary outcome was the occurrence of a respiratory adverse event (desaturation, apnea, or hypoventilation) requiring an intervention by the sedating physician. Secondary outcomes included hypotension and patient satisfaction.Five hundred seventy-three patients were enrolled and randomized, 292 in the propofol group and 281 in the ketofol group. Five percent in the propofol group and 3% in the ketofol group met the primary outcome, an absolute difference of 2% (95

2016 EvidenceUpdates

70. Early Bispectral Index and Sedation Requirements During Therapeutic Hypothermia Predict Neurologic Recovery Following Cardiac Arrest

Early Bispectral Index and Sedation Requirements During Therapeutic Hypothermia Predict Neurologic Recovery Following Cardiac Arrest PEDSCCM.org Criteria abstracted from series in Review Posted: founded 1995 Questions or comments?

2016 PedsCCM Evidence-Based Journal Club

71. Moderate Procedural Sedation in Adult Patients: Guidelines

Moderate Procedural Sedation in Adult Patients: Guidelines Moderate Procedural Sedation in Adult Patients: Guidelines | CADTH.ca Find the information you need Moderate Procedural Sedation in Adult Patients: Guidelines Moderate Procedural Sedation in Adult Patients: Guidelines Published on: September 26, 2016 Project Number: RB1025-000 Product Line: Research Type: Devices and Systems Report Type: Summary of Abstracts Result type: Report Question What are the evidence-based guidelines regarding (...) moderate procedural sedation for adult patients? Key Message Three evidence-based guidelines were identified regarding moderate procedural sedation for adult patients. Tags anesthesia, diagnostic tests, digestive system, emergency medicine, analgesia, analgesics, benzodiazepines, conscious sedation, diagnostic imaging, emergency medical services, emergency service, hospital, emergency treatment, endoscopy, endoscopy, digestive system, etomidate, fentanyl, hypnotics and sedatives, midazolam, morphine

2016 Canadian Agency for Drugs and Technologies in Health - Rapid Review

72. Effectiveness of topical lidocaine as an adjuvant to propofol for procedural sedation in patients undergoing esophagogastroduodenoscopy procedures: a systematic review protocol. (PubMed)

Effectiveness of topical lidocaine as an adjuvant to propofol for procedural sedation in patients undergoing esophagogastroduodenoscopy procedures: a systematic review protocol. The quantitative objective is to identify the effectiveness of topical lidocaine as an adjuvant to propofol versus propofol alone for procedural sedation in adult patients undergoing esophagogastroduodenoscopy procedures.

2016 JBI database of systematic reviews and implementation reports

73. Dexmedetomidine for ICU Sedation

Dexmedetomidine for ICU Sedation Dexmedetomidine for ICU Sedation: a Cost-Effectiveness Analysis | CADTH.ca Find the information you need Dexmedetomidine for ICU Sedation: a Cost-Effectiveness Analysis Dexmedetomidine for ICU Sedation: a Cost-Effectiveness Analysis Published on: September 8, 2016 Project Number: HT0015 Product Line: Technology Review Research Type: Devices and Systems Result type: Report The number of drugs available for sedation of patients in the intensive care unit (ICU (...) ) is limited, with both benzodiazepines and propofol being commonly used. Dexmedetomidine is a selective alpha-2 adrenergic agonist with sedative properties; it produces a pattern of sedation different from other drugs. The choice of sedative drugs in the ICU setting is important, as the drug selected can affect patient outcomes, making their use an important formulary policy decision for acute-care hospitals. Decisions will be made from a quality of care and a budgetary perspective, as substantial cost

2016 CADTH - Health Technology Assessment

74. Dexmedetomidine for ICU Sedation: a Cost-Effectiveness Analysis

Dexmedetomidine for ICU Sedation: a Cost-Effectiveness Analysis Dexmedetomidine for ICU Sedation: a Cost-Effectiveness Analysis | CADTH.ca Find the information you need Dexmedetomidine for ICU Sedation: a Cost-Effectiveness Analysis Dexmedetomidine for ICU Sedation: a Cost-Effectiveness Analysis Published on: September 8, 2016 Project Number: HT0015 Product Line: Technology Review Research Type: Devices and Systems Result type: Report The number of drugs available for sedation of patients (...) in the intensive care unit (ICU) is limited, with both benzodiazepines and propofol being commonly used. Dexmedetomidine is a selective alpha-2 adrenergic agonist with sedative properties; it produces a pattern of sedation different from other drugs. The choice of sedative drugs in the ICU setting is important, as the drug selected can affect patient outcomes, making their use an important formulary policy decision for acute-care hospitals. Decisions will be made from a quality of care and a budgetary

2016 CADTH - Plasma Products

75. Depth of anaesthesia monitoring during procedural sedation and analgesia: A systematic review and meta-analysis (PubMed)

Depth of anaesthesia monitoring during procedural sedation and analgesia: A systematic review and meta-analysis Processed electroencephalogram-based depth of anaesthesia monitoring devices provide an additional method to monitor level of consciousness during procedural sedation and analgesia. The objective of this systematic review was to determine whether using a depth of anaesthesia monitoring device improves the safety and efficacy of sedation.Systematic review and meta-analysis.Electronic (...) databases (CENTRAL; Medline; CINAHL) were searched up to May 2015.Randomised controlled trials that compared use of a depth of anaesthesia monitoring device to a control group who received standard monitoring during procedural sedation and analgesia were included. Study selection, data extraction and risk of bias assessment (Cochrane risk of bias tool) were performed by two reviewers. Safety outcomes were hypoxaemia, hypotension and adverse events. Efficacy outcomes were amount of sedation used

2016 EvidenceUpdates

76. What Works and What's Safe in Pediatric Emergency Procedural Sedation: An Overview of Reviews (PubMed)

What Works and What's Safe in Pediatric Emergency Procedural Sedation: An Overview of Reviews Sedation is increasingly used to facilitate procedures on children in emergency departments (EDs). This overview of systematic reviews (SRs) examines the safety and efficacy of sedative agents commonly used for procedural sedation in children in the ED or similar settings.We followed standard SR methods: comprehensive search; dual study selection, quality assessment, data extraction. We included SRs (...) of children (1 month to 18 years) where the indication for sedation was procedure-related and performed in the ED.Fourteen SRs were included (210 primary studies). The most data were available for propofol (six reviews/50,472 sedations) followed by ketamine (7/8,238), nitrous oxide (5/8,220), and midazolam (4/4,978). Inconsistent conclusions for propofol were reported across six reviews. Half concluded that propofol was sufficiently safe; three reviews noted a higher occurrence of adverse events

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2016 EvidenceUpdates

77. Inadequate Sedation During Therapeutic Paralysis: Use of Bispectral Index in Critically Ill Patients (PubMed)

Inadequate Sedation During Therapeutic Paralysis: Use of Bispectral Index in Critically Ill Patients Patients receiving therapeutic paralysis may experience inadequate sedation due to intrinsic limitations of behavioral sedation assessment. Bispectral index (BIS™) provides an objective measure of sedation; however, the role of BIS™ is not well defined in intensive care unit (ICU) patients on neuromuscular blocking agents (NMBA).The aim of this study was to delineate the relationship between BIS (...) ™ and level of sedation for critically ill patients during therapeutic paralysis.This was a retrospective observational study conducted in ICU patients receiving continuous infusion NMBA and BIS™ monitoring. The primary endpoint was the correlation of BIS™ <60 during therapeutic paralysis with a Richmond Agitation Sedation Score (RASS) of -4 to -5 (i.e., deep or unarousable sedation) at the time of emergence from therapeutic paralysis.Thirty-one patients were included in the analysis. Three

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2016 Drugs - real world outcomes

78. Midazolam for sedation before procedures. (PubMed)

Midazolam for sedation before procedures. Midazolam is used for sedation before diagnostic and therapeutic medical procedures. It is an imidazole benzodiazepine that has depressant effects on the central nervous system (CNS) with rapid onset of action and few adverse effects. The drug can be administered by several routes including oral, intravenous, intranasal and intramuscular.To determine the evidence on the effectiveness of midazolam for sedation when administered before a procedure (...) sedation (midazolam mean 3.15 (SD 0.36); placebo mean 2.56 (SD 0.64); P < 0.001) and reduced the numerical rating of anxiety in one trial with 54 participants (midazolam mean 17.3 (SD 18.58); placebo mean 49.3 (SD 29.46); P < 0.001). There was no difference in meta-analysis of results from both trials for risk of incomplete procedures (RR 0.14, 95% CI 0.02 to 1.12; downgraded to low-quality evidence).We found no high-quality evidence to determine if midazolam, when administered as the sole sedative

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2016 Cochrane

79. Daily sedation interruption in mechanically ventilated critically ill patients cared for with a sedation protocol: A randomized controlled trial

Daily sedation interruption in mechanically ventilated critically ill patients cared for with a sedation protocol: A randomized controlled trial PEDSCCM.org Criteria abstracted from series in Review Posted: founded 1995 Questions or comments?

2016 PedsCCM Evidence-Based Journal Club

80. Alpha-2 agonists for sedation of mechanically ventilated adults in intensive care units: a systematic review

Alpha-2 agonists for sedation of mechanically ventilated adults in intensive care units: a systematic review Alpha-2 agonists for sedation of mechanically ventilated adults in intensive care units: a systematic review Journals Library An error occurred retrieving content to display, please try again. >> >> >> Page Not Found Page not found (404) Sorry - the page you requested could not be found. Please choose a page from the navigation or try a website search above to find the information you

2016 NIHR HTA programme