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Latest & greatest articles for sedation
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Virtual Reality for Pediatric Sedation: A Randomized Controlled Trial Using Simulation. Team training for procedural sedation for pediatric residents has traditionally consisted of didactic presentations and simulated scenarios using high-fidelity mannequins. We assessed the effectiveness of a virtual reality module in teaching preparation for and management of sedation for procedures.After developing a virtual reality environment in Second Life® (Linden Lab, San Francisco, CA) where providers (...) perform and recover patients from procedural sedation, we conducted a randomized controlled trial to assess the effectiveness of the virtual reality module versus a traditional web-based educational module. A 20 question pre- and post-test was administered to assess knowledge change. All subjects participated in a simulated pediatric procedural sedation scenario that was video recorded for review and assessed using a 32-point checklist. A brief survey elicited feedback on the virtual reality module
The Optimal Dose for Oral Midazolam in Order to Achieve Effective Sedation Levels in Pediatric Patients is 0.75mg/kg, as shown by a single trial of ninety patients. UTCAT3045, Found CAT view, CRITICALLY APPRAISED TOPICs University: | | ORAL HEALTH EVIDENCE-BASED PRACTICE PROGRAM View the CAT / Title The Optimal Dose for Oral Midazolam in Order to Achieve Effective Sedation Levels in Pediatric Patients is 0.75mg/kg, as shown by a single trial of ninety patients. Clinical Question What (...) is the optimal dosage of oral midazolam in order to achieve effective sedation levels in pediatric dental patients? Clinical Bottom Line For pediatric dental patients, the oral dose of midazolam of 0.75mg/kg has a high level of sedation and cooperation, without increasing adverse effects, as opposed to the standard dose of 0.5mg/kg. This is based on a single trial of ninety patients. Best Evidence (you may view more info by clicking on the PubMed ID link) PubMed ID Author / Year Patient Group Study type
SCAI/CCAS/SPA Expert Consensus Statement for Anesthesia and Sedation Practice: Recommendations for Patients Undergoing Diagnostic and Therapeutic Procedures in the Pediatric and Congenital Cardiac Catheterization Laboratory Core Curriculum SCAI/CCAS/SPA Expert Consensus Statement for Anesthesia and Sedation Practice: Recommendations for Patients Undergoing Diagnostic and Therapeutic Procedures in the Pediatric and Congenital Cardiac Catheterization Laboratory Kirsten C. Odegard, 1 MD (Co-Chair (...) ), Robert Vincent, 2 * MD, FSCAI, FACC (Co-Chair), Rahul Baijal, 3 MD, SuAnne Daves, 4 MD, Robert Gray, 5 MD, Alex Javois, 6 MD, Barry Love, 7 MD, Phil Moore, 8 MD, FSCAI, David Nykanen, 9 MD, FSCAI, Lori Riegger, 10 MD, Scott G. Walker, 11 MD, and Elizabeth C. Wilson 2 MD Current practice of sedation and anesthesia for patients undergoing pediatric congenital cardiac catheterization laboratory (PCCCL) procedures is known to vary among institu- tions,amulti
Monitoring and Management of Pediatric Patients Before, During, and After Sedation for Diagnostic and Therapeutic Procedures AMERICAN ACADEMY OF PEDIATRIC DENTISTRY RECOMMENDATIONS: BEST PRACTICES 287 Introduction The number of diagnostic and minor surgical procedures per- formed on pediatric patients outside of the traditional operating room setting has increased in the past several decades. As a consequence of this change and the increased awareness of the importance of providing analgesia (...) and anxiolysis, the need for sedation for procedures in physicians’ offices, dental offices, subspecialty procedure suites, imaging facilities, emergency departments, other inpatient hospital settings, and ambulatory surgery centers also has increased markedly. 1–52 In recognition of this need for both elective and emergency use of sedation in nontraditional settings, the American Academy of Pediatrics (AAP) and the American Academy of Pediatric Dentistry (AAPD) have published a series of guidelines
Practice Advisory: FDA Warnings Regarding Use of General Anesthetics and Sedation Drugs in Young Children and Pregnant Women Practice Advisory: FDA Warnings Regarding Use of General Anesthetics and Sedation Drugs in Young Children and Pregnant Women - ACOG Menu ▼ Practice Advisory: FDA Warnings Regarding Use of General Anesthetics and Sedation Drugs in Young Children and Pregnant Women Page Navigation ▼ Share: Practice Advisory: FDA Warnings Regarding Use of General Anesthetics and Sedation (...) Drugs in Young Children and Pregnant Women December 21, 2016 This is an area of evolving care and practice. Fellows should check periodically for revisions and updates. ACOG will communicate important changes and updates to these guidelines. On December 14, 2016, the U.S. Food and Drug Administration (FDA) published a Drug Safety Communications entitled " " (1,2). In this announcement, the FDA announced that it will require warnings to be added to the labels of general anesthetic and sedation drugs
Sedation protocols to reduce duration of mechanical ventilation in the ICU: a Cochrane Systematic Review Assess the effects of protocol-directed sedation management on the duration of mechanical ventilation and other relevant patient outcomes in mechanically ventilated intensive care unit patients.Sedation is a core component of critical care. Sub-optimal sedation management incorporates both under- and over-sedation and has been linked to poorer patient outcomes.Cochrane systematic review (...) of randomized controlled trials.Cochrane Central Register of Controlled trials, MEDLINE, EMBASE, CINAHL, Database of Abstracts of Reviews of Effects, LILACS, Current Controlled Trials and US National Institutes of Health Clinical Research Studies (1990-November 2013) and reference lists of articles were used.Randomized controlled trials conducted in intensive care units comparing management with and without protocol-directed sedation were included. Two authors screened titles, abstracts and full-text
Prospective evaluation of sedation-related adverse events in pediatric patients ventilated for acute respiratory failure PEDSCCM.org Criteria abstracted from series in Review Posted: founded 1995 Questions or comments?
Colonoscopy Outcomes by Duration of NPO Status Prior to Colonoscopy with Moderate or Deep Sedation Department of Veterans Affairs Health Services Research & Development Service Evidence-based Synthesis Program Colonoscopy Outcomes by Duration of NPO Status Prior to Colonoscopy with Moderate or Deep Sedation January 2015 Prepared for: Department of Veterans Affairs Veterans Health Administration Quality Enhancement Research Initiative Health Services Research & Development Service Washington, DC (...) new ESP topics of importance to Veterans and the VA healthcare system. Comments on this evidence report are welcome and can be sent to Nicole Floyd, ESP Coordinating Center Program Manager, at Nicole.Floyd@va.gov. Recommended citation: Example: Shaukat A, Wels J, Malhotra A, Greer N, MacDonald R, Carlyle M, Rutks I, and Wilt T J. Colonoscopy Outcomes by Duration of NPO Status Prior to Colonoscopy with Moderate or Deep Sedation. VA ESP Project #09-009; 2015. This report is based on research
Nurse perceptions of confidence in using the Pasero Opioid-Induced Sedation Scale to assess unintended patient sedation in hospital settings: A quantitative systematic review protocol. 26470655 2018 06 25 2202-4433 13 9 2015 Sep JBI database of systematic reviews and implementation reports JBI Database System Rev Implement Rep Nurse perceptions of confidence in using the Pasero Opioid-Induced Sedation Scale to assess unintended patient sedation in hospital settings: A quantitative systematic
Sedation versus general anaesthesia for provision of dental treatment to patients younger than 18 years. A significant proportion of children have caries requiring restorations or extractions, and some of these children will not accept this treatment under local anaesthetic. Historically this has been managed by the use of a general anaesthetic in children; however, use of sedation may lead to reduced morbidity and cost. The aim of this review was to compare the efficiency of sedation versus (...) general anaesthesia (GA) for provision of dental treatment to children and adolescents younger than 18 years. This review was originally published in 2009 and was updated in 2012 and again in 2015.We will evaluate morbidity and effectiveness of sedation versus GA for provision of dental treatment to patients younger than 18 years. If data become available, we will analyse the cost-effectiveness of different interventions. If data are not available, we will obtain crude estimates of cost.Morbidity can
The Diagnostic Performance of the Richmond Agitation Sedation Scale for Detecting Delirium in Older Emergency Department Patients Delirium is frequently missed in older emergency department (ED) patients. Brief (<2 minutes) delirium assessments have been validated for the ED, but some ED health care providers may consider them to be cumbersome. The Richmond Agitation Sedation Scale (RASS) is an observational scale that quantifies level of consciousness and takes less than 10 seconds to perform
Standards for Conscious Sedation in the Provision of Dental Care Standards for Conscious Sedation in the Provision of Dental Care The dental faculties of the royal colleges of surgeons and the Royal College of Anaesthetists 2015 Report of the Intercollegiate Advisory Committee for Sedation in Dentistry2 Executive summary 03 Committee members 04 Foreword 06 Introduction 07 Options for care 08 Preparation for sedation 10 Consent for treatment 10 Patient information 11 Fasting 12 Clinical (...) environment for sedation 13 Nature of the clinical team for sedation 14 Techniques of sedation 15 Essential principles of safe sedation practice 15 Specific techniques 16 Peri-operative care 18 Monitoring 18 Complications 18 Recovery, discharge and aftercare 19 Clinical governance and audit 20 Education and training 21 Sections Section 1: Care pathways 23 Section 2: Clinical sedation techniques 25 Section 3: Peri-operative care 30 Section 4: Patient information 32 Section 5: Education and training 34
Guidance on the provision of anaesthesia services for sedation 2015 Document Store | The Royal College of Anaesthetists User menu Search Document Store This page displays listings of ALL publications added to the site. You can narrow down the list by entering keywords in the 'Search' field, and selecting 'Apply'. To filter the publications by section, tick the check-boxes of the desired sections, and select 'Apply'. You can set the ordering of the results by the publication title
Protocolized Sedation vs Usual Care in Pediatric Patients Mechanically Ventilated for Acute Respiratory Failure: A Randomized Clinical Trial PEDSCCM.org Criteria abstracted from series in Review Posted: founded 1995 Questions or comments?
The use of propofol for procedural sedation in emergency departments. There is increasing evidence that propofol is efficacious and safe for procedural sedation (PS) in the emergency department (ED) setting. However, propofol has a narrow therapeutic window and lacks of a reversal agent. The aim of this review was to cohere the evidence base regarding the efficacy and safety profile of propofol when used in the ED setting for PS.To identify and evaluate all randomized controlled trials (RCTs
Effects of opioid, hypnotic and sedating medications on sleep-disordered breathing in adults with obstructive sleep apnoea. Obstructive sleep apnoea (OSA) is a common sleep disorder characterised by partial or complete upper airway occlusion during sleep, leading to intermittent cessation (apnoea) or reduction (hypopnoea) of airflow and dips in arterial oxygen saturation during sleep. Many patients with recognised and unrecognised OSA receive hypnotics, sedatives and opiates/opioids to treat
Deep Sedation and General Anaesthesia in Young Children Disclaimer: The Rapid Response Service is an information service for those involved in planning and providing health care in Canada. Rapid responses are based on a limited literature search and are not comprehensive, systematic reviews. The intent is to provide a list of sources of the best evidence on the topic that CADTH could identify using all reasonable efforts within the time allowed. Rapid responses should be considered along (...) . It may not be copied, posted on a web site, redistributed by email or stored on an electronic system without the prior written permission of CADTH or applicable copyright owner. Links: This report may contain links to other information available on the websites of third parties on the Internet. CADTH does not have control over the content of such sites. Use of third party sites is governed by the owners’ own terms and conditions. TITLE: Deep Sedation and General Anaesthesia in Young Children: Safety
The use of bispectral index monitoring (BIS) in conscious sedation BestBets: The use of bispectral index monitoring (BIS) in conscious sedation The use of bispectral index monitoring (BIS) in conscious sedation Report By: Alexia Williams - Emergency Medicine ST6 Search checked by Dr Abdo Sattout - Consultant in Emergency Medicine Institution: University Hospital Aintree, Merseyside, UK Date Submitted: 20th September 2014 Date Completed: 6th May 2015 Last Modified: 6th May 2015 Status: Green (...) (complete) Three Part Question In [adult patients requiring conscious sedation in the Emergency Department] does the use of [bispectral index monitoring] improve [safety]? Clinical Scenario A 25-year-old man presents to the emergency department (ED) with a fracture dislocation of his ankle. His ankle needs reducing, and you intend to use conscious sedation to facilitate this. You wonder whether bispectral index monitoring (BIS) would help achieve an appropriate level of sedation, thereby reducing
Protocolized sedation vs usual care in pediatric patients mechanically ventilated for acute respiratory failure: a randomized clinical trial. Protocolized sedation improves clinical outcomes in critically ill adults, but its effect in children is unknown.To determine whether critically ill children managed with a nurse-implemented, goal-directed sedation protocol experience fewer days of mechanical ventilation than patients receiving usual care.Cluster randomized trial conducted in 31 US (...) pediatric intensive care units (PICUs). A total of 2449 children (mean age, 4.7 years; range, 2 weeks to 17 years) mechanically ventilated for acute respiratory failure were enrolled in 2009-2013 and followed up until 72 hours after opioids were discontinued, 28 days, or hospital discharge.Intervention PICUs (17 sites; n = 1225 patients) used a protocol that included targeted sedation, arousal assessments, extubation readiness testing, sedation adjustment every 8 hours, and sedation weaning. Control