Procedural Sedation (2013)

  • Inclusion:
  • Patients of all age with emergent/urgent condition that require pain +/or anxiety management to accomplish interventional or diagnostic procedure
  • High-risk patients (cardiopulmonary d/o, multiple/head trauma, CNS depressant) w understanding that these patients are at increased risk of complications from procedural sedation and analgesia.
  • Exclusion:
    • Inhalational anesthetics
    • Analgesia for pain control without sedatives
    • Sedation solely for anxiolysis and behavioral emergencies
    • Intubated patients
  • Level A:
    • Ketamine safe for children. Propofol safe for children and adults for sedation in analgesia in ED.
  • Level B:
    • Do not delay procedural sedation in adults or pediatrics in the ED based on fasting time. Preprocedural fasting for any duration has not demonstrated a reduction in risk of emesis or aspiration
    • Capnography may be used as adjunct to pulse ox and clinical assessment to detect hypoventilation and apnea earlier than pulse ox +/or clinical assessment alone
    • Etomidate safe to adults. Combination of propofol and ketamine safe for children and adults.
  • Level C:
    • During procedural sedation and analgesia, a nurse or other qualified individual should be present for continuous monitoring, in addition to the provider performing procedure. Physicians who are working or consulting in ED should coordinate procedures.
    • Ketamine safe for adults. Alfentanil safe for adults. Etomidate safe for children.

Clinical policy: Procedural sedation and analgesia in the emergency department. Ann Emerg Med. 2014;63:247-258. PDF

1 thought on “Procedural Sedation (2013)”

Leave a Comment

Item added to cart.
0 items - $0.00

Member Log-in

Not a Member? Become one today!

  • Membership discounts on live and online programs
  • Continuing education with additional credits
  • Up to Date concise references on the most common clinical questions in primary care, urgent care, and emergency medicine

Register here for all of our live workshops

Registration for any of our programs INCLUDES THE FOLLOWING:

  • Tuition for two full days of live education (Friday and Saturday, 8am until 5pm)
  • High quality lectures and clinical skills program
  • Hands-on procedure and suture workshop
  • Opportunity to receive certification and a written letter of reference from our faculty
  • Lunch on both course days
  • A practice suture kit, tote bag, course companion guide, and additional course-related materials prior to the course ($99 value)
  • 22 CME credits from the AAPA and 22.25 CME credits from the AANP.
error: Alert: Content is protected !!