Moderate and Deep Sedation in Clinical Practice

by Urman, Richard D., M.D.; Kaye, Alan D., M.D., Ph.D.

• ISBN13: 9781107400450
• ISBN10: 1107400457
• Edition: 1st
• Format: Paperback
• Copyright: 2012-03-31
• Publisher: Cambridge Univ Pr

Summary

Millions of procedures requiring sedation are performed each year; many occur outside of the operating room in both inpatient and outpatient settings. This tremendous growth has resulted in sedation being administered by a wide range of healthcare providers, including non-anesthesiologist physicians, nurses and nurse practitioners. Moderate and Deep Sedation in Clinical Practice is a concise, practical handbook for all medical and surgical professionals who sedate patients. This up-to-date, evidence based, 'how to' manual will: Tell you how to evaluate patients Update you on relevant pharmacology Advise you on sedation for specific populations: elderly, pediatric, ICU, emergency room, endoscopy and reproductive technologies Guide you on legal and quality assurance issues Written and edited by experts in procedural sedation and sedation education, this book will help users develop safer techniques, policies and procedures. Essential reading for any healthcare provider administering moderate or deep sedation.

Author Biography

Richard D. Urman, MD, MBA is Assistant Professor of Anesthesia, Harvard Medical School, Director of Procedural Sedation Management and Co-Director, Center for Perioperative Management Medical Informatics, Brigham and Womens Hospital, Boston, Massachusetts. Alan D. Kaye, MD, PhD, DABPM is Chairman and Director of Pain Services, Department of Anesthesiology, and Professor of Pharmacology, LSU School of Medicine, New Orleans, Louisiana.

Table of Contents

List of contributors	p. ix
Foreword	p. xii
Preface	p. xiii
Guidelines and standards	p. xiv
Introduction to moderate and deep sedation	p. 1
Pharmacology principles	p. 8
Pain assessment and management considerations	p. 33
Patient evaluation and procedure selection	p. 44
Patient monitoring, equipment, and intravenous fluids	p. 57
Credentialing, competency, and education	p. 77
Quality, legal, and risk management considerations: ensuring program excellence	p. 85
Nursing considerations for sedation	p. 102
Physician assistants and nurse practitioners	p. 115
High-risk patients: sedation considerations in coexisting disease	p. 120
Management of complications of moderate and deep sedation	p. 135
Outcomes, controversies, and future trends	p. 150
Simulation training for sedation	p. 159
Sedation in the radiology suite	p. 168
Sedation in the endoscopy suite	p. 181
Sedation in the interventional cardiology suite	p. 197
Sedation in the emergency department	p. 209
Sedation in the intensive care setting	p. 218
Pediatric sedation	p. 230
Sedation in the office/outpatient setting	p. 245
Sedation in dentistry	p. 254
Sedation for assisted reproductive technologies	p. 281
Sedation for interventional pain management procedures	p. 291
Emergency resuscitation algorithms: adults	p. 300
Emergency resuscitation algorithms: infants and children	p. 307
Index	p. 314
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