Fasting and emergency department procedural sedation and analgesia: A consensus-based clinical practice advisory

被引:93
作者
Green, Steven M.
Roback, Mark G.
Miner, James R.
Burton, John H.
Krauss, Baruch
机构
[1] Loma Linda Univ, Med Ctr, Dept Emergency Med, Loma Linda, CA 92354 USA
[2] Childrens Hosp, Loma Linda, CA USA
[3] Univ Colorado, Sch Med, Sect Emergency Med, Childrens Hosp, Denver, CO USA
[4] Hennepin Cty Med Ctr, Dept Emergency Med, Minneapolis, MN 55415 USA
[5] Albany Med Ctr, Dept Emergency Med, Albany, NY USA
[6] Childrens Hosp, Div Emergency Med, Boston, MA 02115 USA
[7] Harvard Univ, Sch Med, Boston, MA USA
关键词
D O I
10.1016/j.annemergmed.2006.08.017
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Emergency physicians frequently administer procedural sedation and analgesia to nonfasted patients; however, they currently have no specific guidelines to aid them in preprocedural risk stratification. We assembled a committee of leading emergency physician sedation researchers to develop a consensus-based clinical practice advisory for this purpose. Our goal was to create a tool to permit emergency physicians to identify prudent limits of sedation depth and timing in light of fasting status and individual patient risk factors. The advisory is not intended to assert a legal standard of practice or absolute requirement. It is expected that emergency physicians will at times appropriately deviate from it according to individualized judgment and unique clinical circumstances.
引用
收藏
页码:454 / 461
页数:8
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