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Chapter 21 - Procedural Sedation in the Emergency Department

Published online by Cambridge University Press:  12 December 2024

By
Heikki E. Nikkanen
Edited by
Richard D. Urman  and
Alan David Kaye
Richard D. Urman
Affiliation:
Ohio State University
Alan David Kaye
Affiliation:
Louisiana State University School of Medicine
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Summary

The demands made on a modern emergency department (ED) are such that having an internal capacity to provide a range of procedural sedation is essential to its functioning. Patients arrive at every hour of the day, with pathology that may require sedation for diagnosis or treatment. The requirement for urgent action is greater than in an outpatient office or clinic, where cases are typically planned. Patients in the ED may be critically ill, or have a threat to an organ or limb that must be dealt with rapidly. Imposing on colleagues from the department of anesthesia to provide sedation for these patients is unnecessary and logistically difficult, given the after-hours and unplanned nature of these cases. Emergency physicians with training and board certification in emergency medicine have the skills to recognize these situations, and to assess the risks and benefits of procedural sedation in caring for these patients. In addition, the emergency physician has advanced airway management and resuscitation training to manage complications arising from sedation [1, 2].

Type
Chapter
Information
Moderate and Deep Sedation in Clinical Practice , pp. 263 - 273
Publisher: Cambridge University Press
Print publication year: 2024

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References

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