Procedural sedation and analgesia in the emergency department

被引：22

作者：

Smally, Alan J. ^{[1
]}

Nowicki, Thomas A. ^{[1
]}

Simelton, Bernard H. ^{[2
]}

机构：

[1] Hartford Hosp, Dept Traumatol & Emergency Med, Div Emergency Med, Hartford, CT 06102 USA

[2] Univ Connecticut, Hartford, CT 06112 USA

来源：

CURRENT OPINION IN CRITICAL CARE | 2011年 / 17卷 / 04期

关键词：

emergency department; fasting; ketamine; monitoring; procedural sedation; propofol; PROPOFOL DECREASE; HYPOXIC EVENTS; DEXMEDETOMIDINE; GUIDELINES;

D O I：

10.1097/MCC.0b013e328348bf43

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Purpose of review Procedural sedation and analgesia is frequently administered outside of the operating room in emergency departments (EDs) and ICUs. Evidence was sought concerning patients' safety in the ED. Recent findings Procedural sedation, when administered in the ED by trained personnel, is safe. Extensive literature demonstrates that propofol, ketamine, midazalam, and fentanyl are appropriate medications with proper monitoring and the presence of appropriate personnel. Preprocedural fasting may not be necessary in many cases. Summary With appropriately trained personnel, proper equipment, and the studied drugs ED sedation and analgesia is safe and an appropriate procedure.

引用

页码：317 / 322

页数：6