Latest & greatest articles for sedation

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Top results for sedation

101. Procedural Sedation and Analgesia in the Emergency Department

Procedural Sedation and Analgesia in the Emergency Department ACEP // Procedural Sedation and Analgesia Popular Recommendations PEER ultrasound LLSA sepsis Log In Log In Topics Practice Education Advocacy About ACEP Topics TOPICS Quick Access Current News Practice Administration Life as a Physician Patient Care By Medical Focus Education In Education Bedside Tools Upcoming Conferences Earn CME Now Featured Publication Advocacy Federal Advocacy State Advocacy Get Involved Groups to Join About (...) ACEP Who We Are How We Serve What We Believe Membership FEATURED BENEFIT Popular Recommendations PEER ultrasound LLSA sepsis QUICK ACCESS CURRENT NEWS TOPICS BY MEDICAL FOCUS ADMINISTRATION LIFE AS A PHYSICIAN PATIENT CARE UPCOMING CONFERENCES EARN CME NOW FEATURED PUBLICATION IN EDUCATION BEDSIDE TOOLS GROUPS TO JOIN FEDERAL ADVOCACY STATE ADVOCACY GET INVOLVED MEMBERSHIP FEATURED BENEFIT WHO WE ARE HOW WE SERVE WHAT WE BELIEVE / / Procedural Sedation and Analgesia Procedural Sedation

2014 American College of Emergency Physicians

102. Sedation for Cardiological Procedures

Sedation for Cardiological Procedures *CSANZ Position Statement Sedation in Association with Cardiological Procedures (2011) **CSANZ Position Statement on Sedation in Conjunction with Transoesophageal Echocardiography (2011) The Cardiac Society of Australia and New Zealand Position Statement on Sedation for Cardiovascular Procedures BACKGROUND Administration of intravenous sedation (IVS) has become an integral component of procedural cardiology. In Australia, sedation is employed as part (...) of a wide range of cardiac procedures including electrophysiological studies, transoesophageal echocardiography and cardiac catheterisation. In the subspecialty field of clinical cardiac electrophysiology, IVS is widely employed in both diagnostic and ablation procedures for the treatment of cardiac arrhythmias, electrical cardioversion of arrhythmias and also the insertion of implantable electronic devices including pacemakers, defibrillators and loop recorders. The sedation is often administered

2014 Cardiac Society of Australia and New Zealand

103. Randomized, Double-Blinded, Clinical Trial of Propofol, 1:1 Propofol/Ketamine, and 4:1 Propofol/Ketamine for Deep Procedural Sedation in the Emergency Department (Abstract)

Randomized, Double-Blinded, Clinical Trial of Propofol, 1:1 Propofol/Ketamine, and 4:1 Propofol/Ketamine for Deep Procedural Sedation in the Emergency Department We compare the frequency of airway and respiratory adverse events leading to an intervention between propofol with 1:1 and 4:1 mixtures of propofol and ketamine (ketofol).We performed a randomized, double-blinded trial in which emergency department adults undergoing deep sedation received propofol, 1:1 propofol and ketamine, or 4:1 (...) propofol and ketamine. Our primary outcome was the frequency of airway and respiratory adverse events leading to an intervention. Other outcomes included sedation depth, efficacy, procedure and recovery time, patient satisfaction, pain, and procedural recall.Two hundred seventy-one subjects completed the trial, 90 receiving propofol, 85 receiving 1:1 propofol and ketamine, and 96 receiving 4:1 propofol and ketamine. Airway or respiratory adverse events leading to an intervention were similar between

2014 EvidenceUpdates Controlled trial quality: predicted high

104. Observational study: In China the use of analgesics and sedation following paediatric cardiac surgery is variable; average pain scores are reported to be good but over-sedation is common

Observational study: In China the use of analgesics and sedation following paediatric cardiac surgery is variable; average pain scores are reported to be good but over-sedation is common In China the use of analgesics and sedation following paediatric cardiac surgery is variable; average pain scores are reported to be good but over-sedation is common | Evidence-Based Nursing We use cookies to improve our service and to tailor our content and advertising to you. You can manage your cookie (...) and sedation following paediatric cardiac surgery is variable; average pain scores are reported to be good but over-sedation is common Article Text Child health Observational study In China the use of analgesics and sedation following paediatric cardiac surgery is variable; average pain scores are reported to be good but over-sedation is common Anne-Sylvie Ramelet 1 , 2 Statistics from Altmetric.com Commentary on: Bai J , Hsu L . Pain status and sedation level in Chinese children after cardiac surgery

2014 Evidence-Based Nursing

105. The complexity of nurses' attitudes and practice of sedation at the end of life: a systematic literature review

The complexity of nurses' attitudes and practice of sedation at the end of life: a systematic literature review 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.

2013 DARE.

106. Comparison of the bispectral index monitor with the Comfort score in assessing level of sedation of critically ill children

Comparison of the bispectral index monitor with the Comfort score in assessing level of sedation of critically ill children PEDSCCM.org Criteria abstracted from series in Review Posted: founded 1995 Questions or comments?

2013 PedsCCM Evidence-Based Journal Club

107. State Behavioral Scale: A sedation assessment instrument for infants and young children supported on mechanical ventilation

State Behavioral Scale: A sedation assessment instrument for infants and young children supported on mechanical ventilation PEDSCCM.org Criteria abstracted from series in Review Posted: founded 1995 Questions or comments?

2013 PedsCCM Evidence-Based Journal Club

108. Opioid-sparing effect of preemptive bolus low-dose ketamine for moderate sedation in opioid abusers undergoing extracorporeal shock wave lithotripsy: a randomized clinical trial Full Text available with Trip Pro

Opioid-sparing effect of preemptive bolus low-dose ketamine for moderate sedation in opioid abusers undergoing extracorporeal shock wave lithotripsy: a randomized clinical trial Ketamine has been used as part of a multimodal analgesia regime in opioid abusers undergoing general anesthesia. We studied the opioid-sparing effect of a very low-dose bolus of ketamine as part of moderate sedation for opioid abuse patients undergoing extracorporeal shock wave lithotripsy.In this randomized, placebo (...) -controlled clinical trial, 190 opioid abusers were enrolled. They were stratified into 2 blocks based on their daily opioid consumption. Both blocks were then randomized to receive 0.1 mg/kg IV ketamine (group K) or placebo (group P). Lithotripsy was performed under moderate sedation with intermittent bolus doses of remifentanil (0.2 µg/kg) to alleviate pain. The total remifentanil dose (primary outcome) and respiratory adverse events (secondary outcome) were compared in the 2 groups.Remifentanil

2013 EvidenceUpdates Controlled trial quality: predicted high

109. Safe Sedation Practice for Healthcare Procedures: Standards and Guidance

Safe Sedation Practice for Healthcare Procedures: Standards and Guidance Safe Sedation Practice for Healthcare Procedures Standards and Guidance October 20131 Safe Sedation Practice for Healthcare Procedures Academy of Medical Royal Colleges 2 Executive Summary 4 Working Party Members 5 Introduction 6 Background to Implementing and Ensuring Safe Sedation Practice for Healthcare Procedures in Adults 2001 1 7 What has changed in the last 12 years? 10 Definitions – what is sedation? 12 Practical (...) components of good sedation practice 12 The target state 13 Pre-assessment 13 Information and consent 14 Fasting 15 Patient management and choice of technique for conscious sedation 15 Titration to effect 16 Multiple drugs and anaesthetic drugs/infusions 18 Use of antagonist drugs 18 Extremes of age – the very young, the elderly and frail, or at-risk patient 19 Monitoring and the use of supplementary oxygen 20 The team and the role of the operator-sedationist 21 Factors supporting the case for dedicated

2013 Royal College of Anaesthetists

110. European Curriculum for Sedation Training in Gastrointestinal Endoscopy

European Curriculum for Sedation Training in Gastrointestinal Endoscopy European Curriculum for Sedation Training in Gastrointestinal Endoscopy: ESGE – ESGENA Position Statement – European Society of Gastrointestinal Endoscopy (ESGE) +49-89-9077936-11 Menu DOI http://dx.doi.org/ 10.1055/s-0033-1344142 Endoscopy 2013; 45: 496–504 © Georg Thieme Verlag KG Stuttgart· New York Explore the ESGE website Menu Contact us +49-89-9077936-0 Follow us © 2004 - 2019 European Society of Gastrointestinal

2013 European Society of Gastrointestinal Endoscopy

111. Dexmedetomidine for sedation of cardiac surgical patients

Dexmedetomidine for sedation of cardiac surgical patients Dexmedetomidine for sedation of cardiac surgical patients Dexmedetomidine for sedation of cardiac surgical patients Mitchell MD, Fishman N, Umscheid CA Record Status This is a bibliographic record of a published health technology assessment. No evaluation of the quality of this assessment has been made for the HTA database. Citation Mitchell MD, Fishman N, Umscheid CA. Dexmedetomidine for sedation of cardiac surgical patients

2013 Health Technology Assessment (HTA) Database.

112. Propofol-based versus dexmedetomidine-based sedation in cardiac surgery patients Full Text available with Trip Pro

Propofol-based versus dexmedetomidine-based sedation in cardiac surgery patients Propofol-based versus dexmedetomidine-based sedation in cardiac surgery patients Propofol-based versus dexmedetomidine-based sedation in cardiac surgery patients Curtis JA, Hollinger MK, Jain HB 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. CRD summary This study aimed to evaluate the clinical outcomes and costs of sedation regimens, containing propofol or dexmedetomidine, after cardiac surgery. The authors concluded that dexmedetomidine-based sedation was clinically beneficial, with similar mortality and total hospital charges. The study methods and results were well reported, apart from the cost details. The results were susceptible to bias, and the authors

2013 NHS Economic Evaluation Database.

113. Procedural Sedation for Diagnostic Imaging in Children by Pediatric Hospitalists using Propofol: Analysis of the Nature, Frequency, and Predictors of Adverse Events and Interventions

Procedural Sedation for Diagnostic Imaging in Children by Pediatric Hospitalists using Propofol: Analysis of the Nature, Frequency, and Predictors of Adverse Events and Interventions PEDSCCM.org Criteria abstracted from series in Review Posted: founded 1995 Questions or comments?

2012 PedsCCM Evidence-Based Journal Club

114. Sedation versus general anaesthesia for provision of dental treatment in under 18 year olds. (Abstract)

Sedation versus general anaesthesia for provision of dental treatment in under 18 year olds. 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 in children by the use of a general anaesthetic, however use of sedation may lead to reduced morbidity and cost. The aim of this review is to compare the efficiency of sedation versus general (...) anaesthesia for the provision of dental treatment for children and adolescents aged under 18 years.This review was originally published in 2009 and updated in 2012.We evaluated the intra- and postoperative morbidity, effectiveness and cost effectiveness of sedation versus general anaesthesia for the provision of dental treatment for under 18 year olds.In this updated review we searched the Cochrane Central Register of Controlled Trials (CENTRAL) (The Cochrane Library 2012, Issue 7); MEDLINE (Ovid) (1950

2012 Cochrane

115. Safe and effective procedural sedation for gastrointestinal endoscopy in children

Safe and effective procedural sedation for gastrointestinal endoscopy in children Safe and effective procedural sedation for gastrointestinal endoscopy in children Safe and effective procedural sedation for gastrointestinal endoscopy in children Van Beek EJ, Leroy PL CRD summary The review concluded that propofol-based therapy was the most effective regimen for procedural sedation during gastrointestinal endoscopy in children. Given the potential for bias in the review process, limitations (...) in quality assessments, and variation in study outcomes, the authors' conclusions may not be reliable. Authors' objectives To assess the safety and effectiveness of procedural sedation in children undergoing gastrointestinal endoscopy. Searching MEDLINE, EMBASE and The Cochrane Library were searched for published studies from January 1995 up to January 2011; search terms were reported. Reference lists of retrieved articles, reviews, editorials and guidelines were also searched. Study selection Studies

2012 DARE.

116. Chloral hydrate or midazolam: which is better for sedating children for painless diagnostic imaging?

Chloral hydrate or midazolam: which is better for sedating children for painless diagnostic imaging? BestBets: Chloral hydrate or midazolam: which is better for sedating children for painless diagnostic imaging? Chloral hydrate or midazolam: which is better for sedating children for painless diagnostic imaging? Report By: Dr Michelle Hare - Consultant in Paediatrics Institution: Sheffield Children's Hospital, Western Bank, Sheffield, South Yorkshire, UK Date Submitted: 14th September 2012 Last (...) Modified: 14th September 2012 Status: Green (complete) Three Part Question In [children who require sedation for painless diagnostic imaging] is [chloral hydrate better than midazolam] in achieving [effective and safe sedation]? Clinical Scenario A 2-year-old child is acutely admitted at night to a district general hospital following a prolonged focal seizure. A CT scan of the head without sedation fails as the child is too active and distressed, and as the on-call paediatric registrar, you

2012 BestBETS

117. Conscious Sedation in Dentistry

Conscious Sedation in Dentistry Scottish Dental Clinical Effectiveness Programme - SDCEP Scottish Dental Clinical Effectiveness Programme Navigate this website Welcome The Scottish Dental Clinical Effectiveness Programme (SDCEP) provides user-friendly, evidence-based guidance to support dental teams to provide high quality healthcare that is safe, effective and person centred. SDCEP works in partnership with the (TRiaDS) collaboration, the (SDPBRN) , the (QIiPT) , and the (SDPF). These comprise

2012 Scottish Dental Clinical Effectiveness Programme

118. In IV sedation used for dental surgery, neither fentanyl or nalbuphine more effective as an analgesic

In IV sedation used for dental surgery, neither fentanyl or nalbuphine more effective as an analgesic UTCAT2298, Found CAT view, CRITICALLY APPRAISED TOPICs University: | | ORAL HEALTH EVIDENCE-BASED PRACTICE PROGRAM View the CAT / Title In IV Sedation Used for Dental Surgery, Neither Fentanyl or Nalbuphine More Effective As An Analgesic Clinical Question In a patient undergoing IV moderate conscious sedation associated with dental surgery, is fentanyl or nalbuphine more effective as a peri (...) -operative analgesic? Clinical Bottom Line Neither fentanyl or nalbuphine is shown to have a clinical advantage as a peri-operative analgesic associated with IV moderate sedation in the dental office. Best Evidence (you may view more info by clicking on the PubMed ID link) PubMed ID Author / Year Patient Group Study type (level of evidence) #1) Dolan/1998 50 patients, ASA 1 or 2 RCT Key results Dental surgery patients who required IV sedation, were given equipotent doses of either fentanyl or nalbuphine

2012 UTHSCSA Dental School CAT Library

119. Dexmedetomidine vs midazolam or propofol for sedation during prolonged mechanical ventilation: two randomized controlled trials

Dexmedetomidine vs midazolam or propofol for sedation during prolonged mechanical ventilation: two randomized controlled trials PEDSCCM.org Criteria abstracted from series in Review Posted: founded 1995 Questions or comments?

2012 PedsCCM Evidence-Based Journal Club

120. Ketamine-propofol combination (ketofol) versus propofol alone for emergency department procedural sedation and analgesia: a randomized double-blind trial (Abstract)

Ketamine-propofol combination (ketofol) versus propofol alone for emergency department procedural sedation and analgesia: a randomized double-blind trial We determine whether a 1:1 mixture of ketamine and propofol (ketofol) for emergency department (ED) procedural sedation results in a 13% or more absolute reduction in adverse respiratory events compared with propofol alone.Participants were randomized to receive either ketofol or propofol in a double-blind fashion. Inclusion criteria were aged (...) 14 years or older and American Society of Anesthesiology class 1 to 3 status. The primary outcome was the number and proportion of patients experiencing an adverse respiratory event as defined by the Quebec Criteria. Secondary outcomes were sedation consistency, efficacy, and time; induction time; and adverse events.A total of 284 patients were enrolled, 142 per group. Forty-three (30%) patients experienced an adverse respiratory event in the ketofol group compared with 46 (32%) in the propofol

2012 EvidenceUpdates Controlled trial quality: predicted high