Latest & greatest articles for sedation

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Top results for sedation

181. Does music reduce anxiety during invasive procedures with procedural sedation: an integrative research review

Does music reduce anxiety during invasive procedures with procedural sedation: an integrative research review Does music reduce anxiety during invasive procedures with procedural sedation: an integrative research review Does music reduce anxiety during invasive procedures with procedural sedation: an integrative research review Vanderboom T CRD summary The review concluded that music therapy may be effective in lowering blood pressure and reducing medication requirements for participants who (...) underwent invasive procedures. Weak results and differences between studies made the author recommend further research. The reliability of the author's cautious conclusions are uncertain due to lack of reporting of review methods and details of individual studies including results. Authors' objectives To evaluate the effectiveness of music therapy in reducing anxiety during invasive procedures with procedural sedation. Searching CINAHL, The Cochrane Library, Expanded Academic Index, Proquest, PsycINFO

2007 DARE.

182. Effect of sedation with dexmedetomidine vs lorazepam on acute brain dysfunction in mechanically ventilated patients: the MENDS randomized controlled trial. Full Text available with Trip Pro

Effect of sedation with dexmedetomidine vs lorazepam on acute brain dysfunction in mechanically ventilated patients: the MENDS randomized controlled trial. Lorazepam is currently recommended for sustained sedation of mechanically ventilated intensive care unit (ICU) patients, but this and other benzodiazepine drugs may contribute to acute brain dysfunction, ie, delirium and coma, associated with prolonged hospital stays, costs, and increased mortality. Dexmedetomidine induces sedation via (...) different central nervous system receptors than the benzodiazepine drugs and may lower the risk of acute brain dysfunction.To determine whether dexmedetomidine reduces the duration of delirium and coma in mechanically ventilated ICU patients while providing adequate sedation as compared with lorazepam.Double-blind, randomized controlled trial of 106 adult mechanically ventilated medical and surgical ICU patients at 2 tertiary care centers between August 2004 and April 2006. Patients were sedated

2007 JAMA Controlled trial quality: predicted high

183. Procedural sedation for cardioversion

Procedural sedation for cardioversion BestBets: Procedural Sedation for Cardioversion Procedural Sedation for Cardioversion Report By: Jeremy Wood, MD - Senior Resident Search checked by Craig Ferguson - Clinical Research Fellow Institution: Michigan State University/MERC Emergency Medicine Residency Program Date Submitted: 26th June 2005 Date Completed: 8th December 2006 Last Modified: 20th October 2006 Status: Green (complete) Three Part Question In [patients with atrial fibrillation, atrial (...) flutter, or paroxysmal supraventricular tachycardia requiring electrical cardioversion] are [there medications superior in safety and efficacy] in [achieving procedural sedation]? Clinical Scenario An 38 year old male arrives in your emergency department complaining of palpitations and feels slightly light headed. He has never had these symptoms before and is certain that they started 1 hour prior to arrival. He is awake and alert with a blood pressure of 134/82 and a pulse of 128. His physical exam

2007 BestBETS

184. Procedural sedation and analgesia in children. (Abstract)

Procedural sedation and analgesia in children. Procedural sedation and analgesia for children--the use of sedative, analgesic, or dissociative drugs to relieve anxiety and pain associated with diagnostic and therapeutic procedures--is now widely practised by a diverse group of specialists outside the operating theatre. We review the principles underlying safe and effective procedural sedation and analgesia and the spectrum of procedures for which it is currently done. We discuss the decision (...) -making process used to determine appropriate drug selection, dosing, and sedation endpoint. We detail the pharmacopoeia for procedural sedation and analgesia, reviewing the pharmacology and adverse effects of these drugs. International differences in practice are described along with current areas of controversy and future directions.

2006 Lancet

185. Intramuscular haloperidol-promethazine sedates violent or agitated patients more quickly than intramuscular lorazepam Full Text available with Trip Pro

Intramuscular haloperidol-promethazine sedates violent or agitated patients more quickly than intramuscular lorazepam Intramuscular haloperidol-promethazine sedates violent or agitated patients more quickly than intramuscular lorazepam | Evidence-Based Mental Health 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 Intramuscular haloperidol-promethazine sedates violent or agitated patients more quickly than intramuscular lorazepam Article Text Therapeutics

2006 Evidence-Based Mental Health

186. Sedation of anxious children undergoing dental treatment. (Abstract)

Sedation of anxious children undergoing dental treatment. Anxiety about dental treatment or behaviour management problems can be a barrier to its uptake in children. Sedation can be used to relieve anxiety and manage behaviour, unfortunately it is difficult to determine from published research which agents, dosages and techniques are effective.To evaluate the relative efficacy of the various conscious sedation techniques and dosages for behaviour management in paediatric dentistry.Computerised (...) : randomised controlled trials of conscious sedation comparing two or more drugs/techniques/placebo undertaken by the dentist or one of the dental team in anxious children up to 16 years of age.Information regarding methods, participants, interventions and outcome measures and results were independently extracted, in duplicate, by two authors. Authors of trials were contacted for details of randomisation and withdrawals and a quality assessment was carried out not using any formal scoring system

2006 Cochrane

187. Impact of introducing a sedation management guideline in intensive care Full Text available with Trip Pro

Impact of introducing a sedation management guideline in intensive care Impact of introducing a sedation management guideline in intensive care Impact of introducing a sedation management guideline in intensive care Adam C, Rosser D, Manji M Record Status This is a critical abstract of an economic evaluation that meets the criteria for inclusion on NHS EED. Each abstract contains a brief summary of the methods, the results and conclusions followed by a detailed critical assessment (...) on the reliability of the study and the conclusions drawn. Health technology The study examined the use of sedation management guidelines (adapted from the Ramsay sedation scale) for patients in the intensive care unit (ICU). Type of intervention Treatment. Economic study type Cost-effectiveness analysis. Study population The study population consisted of medical and surgical patients admitted to an ICU. Setting The setting was tertiary care. The economic study was carried out in Birmingham, UK. Dates to which

2006 NHS Economic Evaluation Database.

188. A review of the use of propofol for procedural sedation in the emergency department Full Text available with Trip Pro

A review of the use of propofol for procedural sedation in the emergency department A review of the use of propofol for procedural sedation in the emergency department A review of the use of propofol for procedural sedation in the emergency department Symington L, Thakore S CRD summary This review assessed the effects of propofol for procedural sedation in the emergency department. The authors concluded that the evidence suggests that propofol is safe and effective, but the studies generally (...) used deeper sedation than that recommended in the UK for non-anaesthetists. Poor reporting of the review methods and differences between the studies make it difficult to confirm the robustness of the conclusions. Authors' objectives To assess the effects of propofol for procedural sedation in the emergency department. Searching MEDLINE (1966 to week 4, 2005), EMBASE (1980 to week 10, 2005) and the Cochrane Library (including the Cochrane CENTRAL Register) were searched using the reported search

2006 DARE.

189. Sedation in the intensive care unit with remifentanil/propofol versus midazolam/fentanyl: a randomised, open-label, pharmacoeconomic trial

Sedation in the intensive care unit with remifentanil/propofol versus midazolam/fentanyl: a randomised, open-label, pharmacoeconomic trial Untitled Document The CRD Databases will not be available from 08:00 BST on Friday 4th October until 08:00 BST on Monday 7th October for essential maintenance. We apologise for any inconvenience.

2006 NHS Economic Evaluation Database.

190. Cost-effectiveness analysis of sedation and analgesia regimens during fracture manipulation in the pediatric emergency department Full Text available with Trip Pro

Cost-effectiveness analysis of sedation and analgesia regimens during fracture manipulation in the pediatric emergency department Cost-effectiveness analysis of sedation and analgesia regimens during fracture manipulation in the pediatric emergency department Cost-effectiveness analysis of sedation and analgesia regimens during fracture manipulation in the pediatric emergency department Pershad J, Todd K, Waters T Record Status This is a critical abstract of an economic evaluation that meets (...) the criteria for inclusion on NHS EED. Each abstract contains a brief summary of the methods, the results and conclusions followed by a detailed critical assessment on the reliability of the study and the conclusions drawn. Health technology The study examined four procedural sedation and analgesia (PSA) regimens frequently administered and investigated in the paediatric emergency department (ED) to facilitate forearm manipulation. These were deep sedation with ketamine/midazolam (K/M) administration

2006 NHS Economic Evaluation Database.

191. Expirations: Does End-Tidal CO2 Monitoring Predict Adverse Respiratory Events In Sedation?

Expirations: Does End-Tidal CO2 Monitoring Predict Adverse Respiratory Events In Sedation? Expirations: Does End-Tidal CO2 Monitoring Predict Adverse Respiratory Events In Sedation? « Sinai EM Journal Club Emergency Medicine Discussion Forum Expirations: Does End-Tidal CO2 Monitoring Predict Adverse Respiratory Events In Sedation? In the growing backlog of articles and journal club presentations I’d like to write up, I came across this publication which was presented a few months back — from (...) Burton, Harrah, Germann and Dillon in Academic Emergency Medicine 2006; 13:500-504. My notes on the presentation have long since disappeared (I believe it was given by… Tim?) but my interest in the topic was rekindled after a recent M+M. The authors note that, in the OR, end-tidal monitoring is standard practice, but no EM organizations have advocated its routine use in ED procedural sedation. Thus, the goal of this study was to see if ETCO2 monitoring could detect acute respiratory events before

2006 Sinai EM Journal Club

192. Palliative sedation in dying patients: "we turn to it when everything else hasn't worked". (Abstract)

Palliative sedation in dying patients: "we turn to it when everything else hasn't worked". Despite skilled palliative care, some dying patients experience distressing symptoms that cannot be adequately relieved. A patient with metastatic breast cancer, receiving high doses of opioids administered to relieve pain, developed myoclonus. After other approaches proved ineffective, palliative sedation was an option of last resort. The doctrine of double effect, the traditional justification (...) for palliative sedation, permits physicians to provide high doses of opioids and sedatives to relieve suffering, provided that the intention is not to cause the patient's death and that certain other conditions are met. Such high doses are permissible even if the risk of hastening death is foreseen. Because intention plays a key role in this doctrine, clinicians must understand and document which actions are consistent with an intention to relieve symptoms rather than to hasten death. The patient or family

2005 JAMA

193. Sedation management for the adult mechanically ventilated patient Full Text available with Trip Pro

Sedation management for the adult mechanically ventilated patient Sedation management for the adult mechanically ventilated patient | 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 Sedation management for the adult mechanically ventilated patient Article Text Implementation forum Sedation management for the adult mechanically ventilated patient Free Joseph Greiner , RN, MSN , Jane A Greiner , RN, BSN Statistics from Altmetric.com PROBLEM

2005 Evidence-Based Nursing

194. Conscious sedation and analgesia for oocyte retrieval during in vitro fertilisation procedures. (Abstract)

Conscious sedation and analgesia for oocyte retrieval during in vitro fertilisation procedures. Various methods of sedation and analgesia have been used for pain relief during oocyte recovery in IVF/ICSI procedures. The choice of agents has also been influenced by quality of analgesia as well as by concern about possible detrimental effects on reproductive outcome.To assess the efficacy of conscious sedation and analgesia versus alternative methods on pregnancy outcomes and pain relief (...) and unpublished data.Only randomised controlled trials comparing conscious sedation and analgesia versus alternative methods for pain relief during oocyte recovery were included.Two reviewers independently scanned abstracts of the reports identified by electronic searching to identify relevant papers, extracted data and assessed trial quality. Interventions were classified and analysed under broad categories/strategies of pain relief comparing conscious sedation/analgesia with alternative methods

2005 Cochrane

195. Midazolam sedates agitated patients more rapidly than haloperidol-promethazine Full Text available with Trip Pro

Midazolam sedates agitated patients more rapidly than haloperidol-promethazine Midazolam sedates agitated patients more rapidly than haloperidol-promethazine | Evidence-Based Mental Health 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 Midazolam sedates agitated patients more rapidly than haloperidol-promethazine Article Text Therapeutics Midazolam sedates agitated patients more rapidly than haloperidol-promethazine Free Paul S Waraich , MHSc MD FRCP(C) Statistics

2005 Evidence-Based Mental Health

196. Sedation of anxious children undergoing dental treatment. (Abstract)

Sedation of anxious children undergoing dental treatment. Anxiety about dental treatment maybe a barrier to its uptake in children. Sedation can be used to relieve anxiety and manage behaviour, unfortunately it is difficult to determine from published research which agents, dosages and techniques are effective.To evaluate the relative efficacy of the various conscious sedation techniques and dosages for behaviour management in paediatric dentistry.Computerised: MEDLINE, PubMed, EMBASE, Cochrane (...) not searched.Studies were selected if they met the following criteria: randomised controlled trials of conscious sedation comparing two or more drugs/techniques/placebo undertaken by the dentist or one of the dental team in anxious children up to 16 years of age.Information regarding methods, participants, interventions and outcome measures and results were independently extracted, in duplicate, by two authors. Specialist advice was asked to categorise interventions. Authors of trials were contacted for details

2005 Cochrane

197. Guidelines on Consent for Anaesthesia or Sedation

Guidelines on Consent for Anaesthesia or Sedation AUSTRALIAN AND NEW ZEALAND COLLEGE OF ANAESTHETISTS ABN 82 055 042 852 Review PS26 (2005) GUIDELINES ON CONSENT FOR ANAESTHESIA OR SEDATION INTRODUCTION Consent should be obtained for all medical treatment. It is a basic tenet of our society that everyone has a right to determine what is done to his/her own body, and is entitled to know the implications of any treatment before it is administered and to seek clarification of any issues that may

2005 Australian and New Zealand College of Anaesthetists

198. Guidelines on Consent for Anaesthesia or Sedation

Guidelines on Consent for Anaesthesia or Sedation AUSTRALIAN AND NEW ZEALAND COLLEGE OF ANAESTHETISTS ABN 82 055 042 852 Review PS26 (2005) GUIDELINES ON CONSENT FOR ANAESTHESIA OR SEDATION INTRODUCTION Consent should be obtained for all medical treatment. It is a basic tenet of our society that everyone has a right to determine what is done to his/her own body, and is entitled to know the implications of any treatment before it is administered and to seek clarification of any issues that may

2005 Australian and New Zealand College of Anaesthetists

199. Painful procedures in children with cancer: comparison of moderate sedation and general anesthesia for lumbar puncture and bone marrow aspiration Full Text available with Trip Pro

Painful procedures in children with cancer: comparison of moderate sedation and general anesthesia for lumbar puncture and bone marrow aspiration Painful procedures in children with cancer: comparison of moderate sedation and general anesthesia for lumbar puncture and bone marrow aspiration Painful procedures in children with cancer: comparison of moderate sedation and general anesthesia for lumbar puncture and bone marrow aspiration Iannalfi A, Bernini G, Caprilli S, Lippi A, Tucci F, Messeri (...) A Record Status This is a critical abstract of an economic evaluation that meets the criteria for inclusion on NHS EED. Each abstract contains a brief summary of the methods, the results and conclusions followed by a detailed critical assessment on the reliability of the study and the conclusions drawn. Health technology The use of either moderate sedation or general anaesthesia for children undergoing lumbar puncture or bone marrow aspiration. Moderate sedation consisted of either premixed nitrous

2005 NHS Economic Evaluation Database.

200. Physician reports of terminal sedation without hydration or nutrition for patients nearing death in the Netherlands. (Abstract)

Physician reports of terminal sedation without hydration or nutrition for patients nearing death in the Netherlands. Terminal sedation in patients nearing death is an important issue related to end-of-life care.To describe the practice of terminal sedation in the Netherlands.Face-to-face interviews.The Netherlands.Nationwide stratified sample of 482 physicians; 410 responded and 211 of these reported characteristics of their most recent terminal sedation case.Physician reports of frequency (...) of terminal sedation (defined as the administration of drugs to keep the patient in deep sedation or coma until death, without giving artificial nutrition or hydration), characteristics of the decision-making process, drugs used, the estimated life-shortening effect, and frequency of euthanasia discussions.Of respondents, 52% (95% CI, 48% to 57%) had ever used terminal sedation. Of the 211 most recent cases, physicians used terminal sedation to alleviate severe pain in 51% of patients (CI, 44% to 58

2004 Annals of Internal Medicine