Procedural Sedation

Author : Michael Kost
Publisher : Elsevier Health Sciences
Page : 314 pages
File Size : 43,7 Mb
Release : 2019-03-09
Category : Medical
ISBN : 9780323597708

Get Book

Moderate Procedural Sedation and Analgesia - E-Book by Michael Kost Pdf

Introducing the definitive resource designed for practitioners working in the rapidly expanding area of moderate procedural sedation and analgesia clinical practice. Moderate Procedural Sedation and Analgesia: A Question and Answer Approach focuses on the preprocedural, procedural, and postprocedural care of the moderately sedated patient in a variety of settings. This comprehensive text is designed to provide all the content and tools nurses and other clinicians need to demonstrate competency in moderate sedation and analgesia. Additionally, this user-friendly text is written by well-known sedation/analgesia expert, Michael Kost and recommended by standards of practice from the ANA, AORN, and the American Academy of Pediatrics. New clinically focused text ensures clinicians involved in the administration and management of patients receiving moderate sedation have access to the most up-to-date information. Strong safety focus throughout the book explains how technology and clinician practice can improve sedation administration. Chapters organized in clinical problem/question plus answer format help you easily comprehend material. Follows the latest TJC Sedation/Anesthesia Guidelines ensuring you are ready for medication administration in clinical practice. Pediatrics and Geriatrics chapters cover specific sedation practice recommendations that address the substantive clinical practice challenges associated with these patient populations. Pharmacologic profiles of medications detail their use in the moderate sedation practice setting.

Author : Rahim Valani,Kaushal H. Shah
Publisher : Lippincott Williams & Wilkins
Page : 366 pages
File Size : 51,7 Mb
Release : 2012-10-16
Category : Medical
ISBN : 9781451155044

Get Book

Essential Emergency Procedural Sedation and Pain Management by Rahim Valani,Kaushal H. Shah Pdf

Procedural sedation is commonly used in the emergency department for patients undergoing painful procedures such as fracture reduction or electrical cardioversion. The fourth volume in the Essential Emergency Medicine series, Essential Emergency Procedural Sedation and Pain Management provides a unique interprofessional perspective on delivering procedural sedation and analgesia. The book is designed for staff physicians, residents, nurses, professionals, and allied health care workers. Although procedural sedation is commonly employed and recognized as a required skill set for emergency physicians, there is a lack of appropriate education in the area, and this book bridges gaps in training, especially in the interprofessional team setting.

Author : Richard D. Urman,Alan D. Kaye
Publisher : Cambridge University Press
Page : 343 pages
File Size : 45,7 Mb
Release : 2012-02-09
Category : Medical
ISBN : 9781107400450

Get Book

Moderate and Deep Sedation in Clinical Practice by Richard D. Urman,Alan D. Kaye Pdf

A concise, practical handbook giving up-to-date, evidence based, 'how to' guidance on safe, effective procedural sedation.

Author : American Academy of Pediatrics. Section on Anesthesiology and Pain Medicine
Publisher : Unknown
Page : 305 pages
File Size : 46,5 Mb
Release : 2015
Category : MEDICAL
ISBN : 1581109342

Get Book

Procedural Sedation for Infants, Children, and Adolescents by American Academy of Pediatrics. Section on Anesthesiology and Pain Medicine Pdf

Author : Suresh S David
Publisher : Springer
Page : 846 pages
File Size : 46,5 Mb
Release : 2016-05-23
Category : Medical
ISBN : 9788132227106

Get Book

Clinical Pathways in Emergency Medicine by Suresh S David Pdf

This book aims to provide condensed and crystallised knowledge, providing the rationale for investigations and interventions. Emergency medicine is a specialty where time and knowledge are critical factors in deciding appropriate management which could otherwise result in loss of life or limb. The challenge often is to have lucid management plans, whilst standing at the bedside of the patient. In order to address this challenge, a manuscript is needed which aims to enhance the clinical skills of the emergency physician. The objective of this book is to compile a road map for practitioners of emergency medicine, which would guide them through algorithm-based pathways. This format is distinctive by nature for its concise presentation, which facilitates easy reading and early application. Written by global experts, this book aims to be a truly international representation of emergency physicians who have come together to deliver contemporary concepts in emergency patient care.

Author : Cheryl K. Gooden,Lia Lowrie,Benjamin F. Jackson
Publisher : Oxford University Press, USA
Page : 529 pages
File Size : 53,9 Mb
Release : 2018
Category : Medical
ISBN : 9780190659110

Get Book

The Pediatric Procedural Sedation Handbook by Cheryl K. Gooden,Lia Lowrie,Benjamin F. Jackson Pdf

The Pediatric Procedural Sedation Handbook provides a comprehensive but concise review of the essential information needed to allow for the safe practice of pediatric procedural sedation. Written by a group of multidisciplinary authors, this text explores the fundamentals of sedation, procedural sedation, special patient considerations, diagnostic and therapeutic procedures, and more. This book is a must-read for any clinician involved in modern, team-based patient-centered care, including physicians, nurses, dentists, and child life specialists.--

Author : Robert M. Brustowicz
Publisher : Unknown
Page : 356 pages
File Size : 43,5 Mb
Release : 1999
Category : Medical
ISBN : UOM:39015046505916

Get Book

Pediatric Procedural Sedation and Analgesia by Robert M. Brustowicz Pdf

Pediatric sedation in the ambulatory setting by non-anesthesiologists is becoming more commonplace, and can be safely accomplished with the right information. This handbook reflects the combined insights of specialists in emergency medicine and anesthesiology, with practical guidelines that show readers the safest and most effective methods. Coverage begins with scientific foundations and continues through management strategies and finally through specific procedures.

Author : Cheryl K. Gooden,Lia Lowrie,Benjamin F. Jackson
Publisher : Oxford University Press
Page : 320 pages
File Size : 52,8 Mb
Release : 2018-10-19
Category : Medical
ISBN : 9780190659127

Get Book

The Pediatric Procedural Sedation Handbook by Cheryl K. Gooden,Lia Lowrie,Benjamin F. Jackson Pdf

The Pediatric Procedural Sedation Handbook provides a comprehensive but concise review of the essential information needed to allow for the safe practice of pediatric procedural sedation. Written by a group of multidisciplinary authors, this text explores the fundamentals of sedation, procedural sedation, special patient considerations, diagnostic and therapeutic procedures, and more. Each chapter offers a starting point and suggestions for further in-depth study of all aspects of providing safe, effective, multidisciplinary-team based sedation care for children undergoing testing and procedures outside of an operating room setting. Appendices providing medication dosing and delivery route suggestions complement the text and can be used for quick reference. This book is a must-read for any clinician involved in modern, team-based patient-centered care, including physicians, nurses, dentists, and child life specialists. Editors and authors are members of the Society of Pediatric Sedation, a multidisciplinary society dedicated to the advance of pediatric sedation by promoting safe, high quality care, innovative research, and quality professional education.

Author : Keira P. Mason
Publisher : Springer
Page : 749 pages
File Size : 44,9 Mb
Release : 2014-10-11
Category : Medical
ISBN : 9781493913909

Get Book

Pediatric Sedation Outside of the Operating Room by Keira P. Mason Pdf

This is a major revision, updating, and expansion of the leading single-source volume on pediatric sedation outside of the operating room. Edited and written by an international roster of outstanding experts, it is the only book aimed at the broad range of specialists who deliver pediatric sedation in the non-OR setting. The Second Edition features a significant expansion of contributions from international leaders and individual new chapters on pre-sedation assessment; sedatives’ short- and long-term effects on neurocognition; non-pharmacologic distractions; Michael Jackson’s death and medical ethics; the role of simulation in safety and training; and palliative sedation in terminally ill children. The specialty-specific chapters continue to be geared toward all sedation providers, regardless of where they practice and patient safety is again emphasized. Fundamental chapters provide in-depth reviews of topics which include, among others, physiology and pharmacology. The book presents the latest guidelines across the specialties, both in the United States and abroad and noteworthy, ongoing research endeavors. From reviews of the First Edition: “This meritorious volume is a splendid collection of materials from highly experienced authors...I will make extensive use of this reference as the academic medical center in which I work continues to build sedation practices and assess credentialing/privileging aspects for professionals of all fields.” —Joseph R. Tobin, MD in Journal of the American Medical Association. “Brings together sedation practice from a broad range of specialties into one well-written pediatric text...I will certainly be using this book as a reference text in the future.” — Pediatric Anesthesia. “The first [text] directed at all specialists that treat children who require some sedation...also recognizes the contributions to pediatric sedation of many international societies and governmental organizations...It should be on the shelves of all office-based practices.” —Journal of Neurosurgical Anesthesiology. "With the ever-increasing opportunities to perform various investigations and therapeutic procedures, combined with increasing demands and expectations from children and their parents, the need and demand for safe and effective sedation of paediatric patients outside the operating room is increasing. Against this background, the second edition of ‘Pediatric Sedation Outside the Operating Room’ is a very timely addition to the anaesthesia literature."—British Journal of Anesthesia

Author : Benjamin Grossmann
Publisher : Linköping University Electronic Press
Page : 90 pages
File Size : 45,7 Mb
Release : 2019-05-13
Category : Electronic
ISBN : 9789176851104

Get Book

Procedural sedation by Benjamin Grossmann Pdf

Background: Safety and effectiveness are fundamental principles within the healthcare sector to provide quality of care and health improvement for patients. By ensuring that care is provided based on evidence-based knowledge, risks and complications can be minimised and the use of scarce resources optimised. An increasing demand for diagnostic and therapeutic procedures challenges the traditional methods for sedation regarding safety and effectiveness. It is desirable that the fundamental principles are improved when refining existing or developing new sedation methods. In this doctoral thesis, safety and effectiveness were evaluated for adult patient-controlled sedation (PCS) using propofol during two endoscopic procedures: endoscopic retrograde cholangiopancreaticography (ERCP) and flexible bronchoscopy (FB); and different doses of rectal racemic ketamine for paediatric (< 4 years) burn wound care. Methods: Data on vital functions, sedation level, safety interventions, procedure feasibility, patient-reported outcome and experience measures, and recovery, from three clinical randomised controlled trials were collected. Costs of sedation for the endoscopic procedures were compiled in a cost-analysis study. Results: PCS with propofol and bedside anaesthetic personnel was shown to be a safe and effective alternative method of sedation during ERCP and FB compared with intravenous sedation with midazolam. The PCS method gives stable cardiorespiratory conditions with few adverse events and interventions, with a low risk of oversedation. PCS offers similar (FB) or better (ERCP) procedure feasibility and patient satisfaction during the procedures than midazolam. Recovery after PCS is quick, minimises the risk for prolonged hospitalisation and is thereby a potential cost-saving sedation method. The optimal dose of rectal racemic ketamine, 6 mg/kg with the addition of 0.5 mg/kg midazolam during severely painful procedures, gives minimal risk for outbreaks of pain, offers stable vital signs conditions and allows rapid recovery without affecting procedure feasibility. Conclusions: The sedation method can be adjusted to type of procedure and patient population. PCS with propofol offers an alternative and reliable method for adult sedation during endoscopic procedures, whereas rectal racemic ketamine combined with midazolam provides good conditions for burn care dressing procedures in young children.

Author : Andreas Nilsson
Publisher : Linköping University Electronic Press
Page : 88 pages
File Size : 47,6 Mb
Release : 2014-11-24
Category : Anesthesia
ISBN : 9789175192215

Get Book

Patient-controlled sedation in procedural care by Andreas Nilsson Pdf

The need for procedural sedation is extensive and on the increase in numbers of patients. Minor treatments or diagnostic procedures are being performed with inadequate sedation or even without any sedatives or analgesics. Also, sedation techniques that support advanced, high-quality, in-patient care procedures representing easy performance and rapid recovery are requested for increased effectiveness. In this doctoral thesis, patient-controlled sedation (PCS) using propofol and alfentanil for surgical and diagnostic procedures was studied. The overall aim was to study aspects of safety, procedural feasibility and patients’ experiences. The main hypothesis was that PCS using only propofol is a safe and effective method for the induction and maintenance of moderate procedural sedation. The studies included were prospective, interventional, and in some cases, randomized and double-blinded. Data on cardiopulmonary changes, level of conscious sedation (bispectral index and Observer’s assessment of alertness/sedation [OAA/S]), pain, discomfort, anxiety, nausea (visual analogue scales), interventions performed by nurse anaesthetists, surgeons’ evaluation of feasibility, procedure characteristics, recovery (Aldrete score) and pharmacokinetic simulation of concentrations of drugs at the effect site supported the analysis and comparison between PCS and anaesthetist-controlled sedation and propofol PCS with or without alfentanil. PCS can be adjusted to cover a broad range of areas where sedation is needed, which, in this thesis, included burn care, gynaecological out-patient surgery and endoscopic procedures for the diagnosis and treatment of diseases in the bile ducts (endoscopic retrograde cholangiopancreatography [ERCP]). PCS for burn wound treatment demands the addition of alfentanil, but still seems to be safe. PCS was preferred by the patients instead of anaesthetist-controlled sedation. The addition of alfentanil to PCS as an adjunct to gynaecological surgical procedures also using local anaesthesia increases the surgeon’s access to the patients, but impairs safety. Apnoea and other such conditions requiring interventions to restore respiratory function were seen in patients receiving both alfentanil and propofol for PCS. Patients’ experiencing perioperative pain and anxiety did not explain the effect-site concentrations of drugs. Different gynaecological procedures and patients’ weights seemed to best explain the concentrations. For discomfort and pain during the endoscopic procedure (ERCP), propofol PCS performs almost the same as anaesthetist-performed sedation. Overall, as part of the pre-operative procedures, PCS does not seem to be time-consuming. In respect to the perioperative perspective, PCS supports rapid recovery with a low incidence of tiredness, pain, and post-operative nausea and vomiting (PONV). The data suggest that PCS further needs to be adapted to the patient, the specific procedure and the circumstances of sedation for optimal benefit and enhanced safety.

Author : S. V. Mahadevan,Gus M. Garmel
Publisher : Cambridge University Press
Page : 911 pages
File Size : 43,5 Mb
Release : 2012-04-10
Category : Medical
ISBN : 9780521747769

Get Book

An Introduction to Clinical Emergency Medicine by S. V. Mahadevan,Gus M. Garmel Pdf

Fully-updated edition of this award-winning textbook, arranged by presenting complaints with full-color images throughout. For students, residents, and emergency physicians.

Author : Pradip P. Kamat,John W. Berkenbosch
Publisher : Springer Nature
Page : 510 pages
File Size : 48,7 Mb
Release : 2020-10-28
Category : Medical
ISBN : 9783030525552

Get Book

Sedation and Analgesia for the Pediatric Intensivist by Pradip P. Kamat,John W. Berkenbosch Pdf

This book provides a comprehensive overview on sedation and analgesia for the pediatric intensivist. Divided into two primary sections, the text presents a framework on how to care for patients who need sedation, analgesia, and neuromuscular blockade inside the pediatric ICU (PICU), and how to manage procedural sedation in an outpatient setting. The first section focuses on sedation and analgesia for the critically ill child, with an emphasis on analgesics, sedatives, neuromuscular blockade, tolerance and withdrawal, and the PICU environment. The second section centers around procedural sedation, detailing patient selection, pre-sedation assessment, how to choose a sedation regimen, available agents, and nursing considerations. Written by experts in the field, Sedation and Analgesia for the Pediatric Intensivist: A Clinical Guide is a valuable resource for the pediatric intensivist in caring for their patients both inside and outside the PICU.

Author : Michael Kost
Publisher : Saunders
Page : 356 pages
File Size : 47,5 Mb
Release : 1998
Category : Medical
ISBN : UOM:39015041322424

Get Book

Manual of Conscious Sedation by Michael Kost Pdf

For the first time, one source assembles all the guidance you need to provide effective nursing care for patients undergoing conscious sedation. This 1998 AJN Book of the Year offers you thorough discussions of preprocedural patient care, monitoring requirements, post procedural care, and much more. Continuing education contact hours are available through the Nursing Spectrum in association with this book.

Author : Jan Odom-Forren,Donna S. Watson
Publisher : Elsevier Health Sciences
Page : 360 pages
File Size : 40,5 Mb
Release : 2005-03-09
Category : Medical
ISBN : 9780323020244

Get Book

Practical Guide to Moderate Sedation/Analgesia by Jan Odom-Forren,Donna S. Watson Pdf

"This easy-to-follow book is your complete clinical guide to caring for patients receiving conscious sedation/analgesia during a short-term therapeutic, diagnostic, or surgical procedure. It covers everything you need to know - from practice guidelines for administering sedation, to pre-sedation requirements, intra-procedure monitoring and documentation, and discharge criteria."--BOOK JACKET.