Book contents
- Frontmatter
- Contents
- Acknowledgments
- List of Contributors
- SECTION ONE OVERVIEW AND PRINCIPLES IN EMERGENCY ANALGESIA AND PROCEDURAL SEDATION
- 1 Emergency Analgesia Principles
- 2 Emergency Procedural Sedation Principles
- 3 Analgesic and Procedural Sedation Principles Unique to the Pediatric Emergency Department
- 4 Pain and Analgesia in the Infant
- 5 Provider Bias and Patient Selection for Emergency Department Procedural Sedation and Analgesia
- 6 Federal and Hospital Regulatory Oversight in Emergency Department Procedural Sedation and Analgesia
- 7 Nursing Considerations in Emergency Department Procedural Sedation and Analgesia
- SECTION TWO ANALGESIA FOR THE EMERGENCY PATIENT
- SECTION THREE PROCEDURAL SEDATION FOR THE EMERGENCY PATIENT
- SECTION FOUR TOPICAL, LOCAL, AND REGIONAL ANESTHESIA APPROACH TO THE EMERGENCY PATIENT
- SECTION FIVE SPECIAL CONSIDERATIONS FOR EMERGENCY PROCEDURAL SEDATION AND ANALGESIA
- Index
- Plate section
- References
2 - Emergency Procedural Sedation Principles
from SECTION ONE - OVERVIEW AND PRINCIPLES IN EMERGENCY ANALGESIA AND PROCEDURAL SEDATION
Published online by Cambridge University Press: 03 December 2009
- Frontmatter
- Contents
- Acknowledgments
- List of Contributors
- SECTION ONE OVERVIEW AND PRINCIPLES IN EMERGENCY ANALGESIA AND PROCEDURAL SEDATION
- 1 Emergency Analgesia Principles
- 2 Emergency Procedural Sedation Principles
- 3 Analgesic and Procedural Sedation Principles Unique to the Pediatric Emergency Department
- 4 Pain and Analgesia in the Infant
- 5 Provider Bias and Patient Selection for Emergency Department Procedural Sedation and Analgesia
- 6 Federal and Hospital Regulatory Oversight in Emergency Department Procedural Sedation and Analgesia
- 7 Nursing Considerations in Emergency Department Procedural Sedation and Analgesia
- SECTION TWO ANALGESIA FOR THE EMERGENCY PATIENT
- SECTION THREE PROCEDURAL SEDATION FOR THE EMERGENCY PATIENT
- SECTION FOUR TOPICAL, LOCAL, AND REGIONAL ANESTHESIA APPROACH TO THE EMERGENCY PATIENT
- SECTION FIVE SPECIAL CONSIDERATIONS FOR EMERGENCY PROCEDURAL SEDATION AND ANALGESIA
- Index
- Plate section
- References
Summary
SCOPE OF THE PROBLEM
Procedural sedation and analgesia (PSA) in the emergency department (ED) is a common component of the modern practice of emergency medicine. The concepts inherent to PSA, however, are not new to emergency care for the sick and wounded.
Medical accounts from authors as early as Hippocrates have included descriptions of painful procedures, such as orthopedic dislocation and fracture reduction, in their accounts of the stabilization of patients with acute medical and traumatic conditions. Along with these descriptions, physicians have often described the use of certain techniques or adjuncts to assuage the pain associated with therapeutic procedures.
Historical depictions of procedure patients have frequently included images of caregivers providing alcohol or inhalational agents to alleviate procedure-related pain and suffering. These concepts have become inherent to our collective view of the role of medical caregivers as both prescribing treatment as well as relief of pain and suffering throughout history.
The rationale for administration of analgesic and/or sedative agents has generally relied upon the reduction of pain and suffering. Modern medical practice recognizes the importance of PSA as being equally important for the provision of a number of additional elements including relaxation of affected muscle groups and tissues adjacent to injured structures, reduction of patient anxiety, and as a means to improve the broad experience of the procedure encounter not only for the patient but also for patient family members and health-care providers alike.
- Type
- Chapter
- Information
- Emergency Sedation and Pain Management , pp. 5 - 10Publisher: Cambridge University PressPrint publication year: 2008