Procedural sedation and analgesia is a technique that combines a sedating or dissociative medication with an analgesic drug to allow a non-surgical procedure to be carried out while reducing a patient's level of consciousness, without eliminating their ability to breathe on their own. It is used routinely in emergency departments and operating rooms for procedures that need more than local anesthesia but do not require the deeper unconsciousness of general anesthesia. Although considered safe with a low rate of complications, it requires a pre-procedural assessment of the patient, a check for contraindications, careful choice of sedative agent, and monitoring throughout and after the procedure.
Facts
Disputed
Origin Year1985 marks the American Academy of Pediatrics sedation-level definitions the practice is built on; the specific term procedural sedation and analgesia was coined later, in the late 1990s, by emergency medicine bodies. FAQs
Why is procedural sedation not simply called conscious sedation?
The older term describes a level of sedation that is insufficient for most painful procedures.
A 2010 review in the Saudi Journal of Anaesthesia says the revised definitions of sedation levels replace the popular but misused term conscious sedation. The reason it gives is that the level of sedation defined by the American Academy of Pediatrics in 1985 is insufficient for most painful procedures, especially in children. The review notes that the term procedural sedation was then put forward by the American College of Emergency Physicians.
Sources
1. Wikipedia
Wikipedia contributors, Wikimedia Foundation
2. Saudi Journal of Anaesthesia: Procedural Sedation Analgesia (Sheta 2010)
Saad A Sheta, Saudi Journal of Anaesthesia, 2010Saudi Journal of Anaesthesia 2010, Sheta, Procedural sedation analgesia, sedation-levels definitions paragraphQuote, Saudi Journal of Anaesthesia 2010, Sheta, Procedural sedation analgesia, sedation-levels definitions paragraph
These patients may require assistance maintaining an airway and adequate ventilation, but normal cardiovascular status is usually sustained as long as ventilation is appropriate These revised definitions replace the popular but misused term "conscious sedation," as this level of sedation (as defined by the AAP in 1985)[ 10 ] is insufficient for most painful procedures, especially in children.
Procedural sedation and analgesia (Wikipedia)
Wikipediahttps://en.wikipedia.org/wiki/Procedural_sedation_and_analgesia, lead sectionQuote, https://en.wikipedia.org/wiki/Procedural_sedation_and_analgesia, lead section
Procedural sedation and analgesia (PSA) is a technique in which a sedating/dissociative medication is given, usually along with an analgesic medication, in order to perform non-surgical procedures on a patient.
Reader Challenges (0)
No disputes yet. Spotted an error or a better source? Open the first one.
Sign in to dispute this or suggest a correction.