Procedural Sedation & Analgesia

EMplify by EB Medicine

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2+ y ago 57:19

MP3•에피소드 홈

In this episode, Sam Ashoo, MD interviews Prayag Mehta, MD and Joshua Kern, MD – two of the authors of the June, 2022 EMP article on Procedural Sedation and Analgesia in the Emergency Department. Listen to the discussion to hear more about the emergency medicine approach to sedation in adults and pediatrics !

Procedural Sedation and Analgesia in the Emergency Department

EMplify – June 2022

Episode Outline:

1.Procedural sedation and analgesia (PSA): terminology

2.Levels of sedation

Minimal
Moderate
Deep
General anesthesia

3.Prehospital care

4.ED care: patient assessment

ASA class system
Complications
Equipment needed (Table 1)
Larson maneuver (Figure 2)

5.Procedural technique

Current ACEP and AAP recommendations
Data for 1- or 2-physician sedation

6.Preprocedural fasting

Do we even need to consider this in PSA?

7.Capnography

8.Oxygen supplementation

9.Preprocedural opioids

10.Preprocedural sedatives

11.Anticholinergics

12.Antiemetics

13.Treatment (Table 2)

Fentanyl
Remifentanil
Midazolam
Nitrous oxide
Propofol
Ketamine
Ketofol
Etomidate

14.Reversal agents

Naloxone
Flumazenil

15.Special populations

Pediatrics
Pregnancy
Geriatrics

16.Cutting edge

Dexmedetomidine

145 에피소드