Latest & greatest articles for sedation

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Top results for sedation

181. Impact of introducing a sedation management guideline in intensive care

Impact of introducing a sedation management guideline in intensive care Impact of introducing a sedation management guideline in intensive care Impact of introducing a sedation management guideline in intensive care Adam C, Rosser D, Manji M Record Status This is a critical abstract of an economic evaluation that meets the criteria for inclusion on NHS EED. Each abstract contains a brief summary of the methods, the results and conclusions followed by a detailed critical assessment (...) on the reliability of the study and the conclusions drawn. Health technology The study examined the use of sedation management guidelines (adapted from the Ramsay sedation scale) for patients in the intensive care unit (ICU). Type of intervention Treatment. Economic study type Cost-effectiveness analysis. Study population The study population consisted of medical and surgical patients admitted to an ICU. Setting The setting was tertiary care. The economic study was carried out in Birmingham, UK. Dates to which

NHS Economic Evaluation Database.2006

182. Sedation in the intensive care unit with remifentanil/propofol versus midazolam/fentanyl: a randomised, open-label, pharmacoeconomic trial

Sedation in the intensive care unit with remifentanil/propofol versus midazolam/fentanyl: a randomised, open-label, pharmacoeconomic trial Sedation in the intensive care unit with remifentanil/propofol versus midazolam/fentanyl: a randomised, open-label, pharmacoeconomic trial Sedation in the intensive care unit with remifentanil/propofol versus midazolam/fentanyl: a randomised, open-label, pharmacoeconomic trial Muellejans B, Matthey T, Scholpp J, Schill M Record Status This is a critical (...) abstract of an economic evaluation that meets the criteria for inclusion on NHS EED. Each abstract contains a brief summary of the methods, the results and conclusions followed by a detailed critical assessment on the reliability of the study and the conclusions drawn. Health technology This article compared an analgesia-based sedation regimen with remifentanil and propofol versus a conventional regimen with midazolam and fentanyl in patients requiring postoperative mechanical ventilation in

NHS Economic Evaluation Database.2006

183. Cost-effectiveness analysis of sedation and analgesia regimens during fracture manipulation in the pediatric emergency department

Cost-effectiveness analysis of sedation and analgesia regimens during fracture manipulation in the pediatric emergency department Cost-effectiveness analysis of sedation and analgesia regimens during fracture manipulation in the pediatric emergency department Cost-effectiveness analysis of sedation and analgesia regimens during fracture manipulation in the pediatric emergency department Pershad J, Todd K, Waters T Record Status This is a critical abstract of an economic evaluation that meets (...) the criteria for inclusion on NHS EED. Each abstract contains a brief summary of the methods, the results and conclusions followed by a detailed critical assessment on the reliability of the study and the conclusions drawn. Health technology The study examined four procedural sedation and analgesia (PSA) regimens frequently administered and investigated in the paediatric emergency department (ED) to facilitate forearm manipulation. These were deep sedation with ketamine/midazolam (K/M) administration

NHS Economic Evaluation Database.2006

185. Expirations: Does End-Tidal CO2 Monitoring Predict Adverse Respiratory Events In Sedation?

Expirations: Does End-Tidal CO2 Monitoring Predict Adverse Respiratory Events In Sedation? Expirations: Does End-Tidal CO2 Monitoring Predict Adverse Respiratory Events In Sedation? « Sinai EM Journal Club Emergency Medicine Discussion Forum Expirations: Does End-Tidal CO2 Monitoring Predict Adverse Respiratory Events In Sedation? In the growing backlog of articles and journal club presentations I’d like to write up, I came across this publication which was presented a few months back — from (...) Burton, Harrah, Germann and Dillon in Academic Emergency Medicine 2006; 13:500-504. My notes on the presentation have long since disappeared (I believe it was given by… Tim?) but my interest in the topic was rekindled after a recent M+M. The authors note that, in the OR, end-tidal monitoring is standard practice, but no EM organizations have advocated its routine use in ED procedural sedation. Thus, the goal of this study was to see if ETCO2 monitoring could detect acute respiratory events before

Sinai EM Journal Club2006

186. Palliative sedation in dying patients: "we turn to it when everything else hasn't worked".

Palliative sedation in dying patients: "we turn to it when everything else hasn't worked". Despite skilled palliative care, some dying patients experience distressing symptoms that cannot be adequately relieved. A patient with metastatic breast cancer, receiving high doses of opioids administered to relieve pain, developed myoclonus. After other approaches proved ineffective, palliative sedation was an option of last resort. The doctrine of double effect, the traditional justification (...) for palliative sedation, permits physicians to provide high doses of opioids and sedatives to relieve suffering, provided that the intention is not to cause the patient's death and that certain other conditions are met. Such high doses are permissible even if the risk of hastening death is foreseen. Because intention plays a key role in this doctrine, clinicians must understand and document which actions are consistent with an intention to relieve symptoms rather than to hasten death. The patient or family

JAMA2005

187. Sedation management for the adult mechanically ventilated patient

Sedation management for the adult mechanically ventilated patient Sedation management for the adult mechanically ventilated patient | Evidence-Based Nursing This site uses cookies. By continuing to browse the site you are agreeing to our use of cookies. Log in via your Society Log in using your username and password For personal accounts OR managers of institutional accounts Username * Password * your user name or password? Search for this keyword Search for this keyword Main menu Log in via (...) your Society Log in using your username and password For personal accounts OR managers of institutional accounts Username * Password * your user name or password? You are here Sedation management for the adult mechanically ventilated patient Article Text Implementation forum Sedation management for the adult mechanically ventilated patient Free Joseph Greiner , RN, MSN , Jane A Greiner , RN, BSN Statistics from Altmetric.com No Altmetric data available for this article. PROBLEM From length of stay

Evidence-Based Nursing (Requires free registration)2005

188. Conscious sedation and analgesia for oocyte retrieval during in vitro fertilisation procedures.

Conscious sedation and analgesia for oocyte retrieval during in vitro fertilisation procedures. BACKGROUND: Various methods of sedation and analgesia have been used for pain relief during oocyte recovery in IVF/ICSI procedures. The choice of agents has also been influenced by quality of analgesia as well as by concern about possible detrimental effects on reproductive outcome. OBJECTIVES: To assess the efficacy of conscious sedation and analgesia versus alternative methods on pregnancy outcomes (...) to identify relevant published and unpublished data. SELECTION CRITERIA: Only randomised controlled trials comparing conscious sedation and analgesia versus alternative methods for pain relief during oocyte recovery were included. DATA COLLECTION AND ANALYSIS: Two reviewers independently scanned abstracts of the reports identified by electronic searching to identify relevant papers, extracted data and assessed trial quality. Interventions were classified and analysed under broad categories/strategies

Cochrane2005

189. Midazolam sedates agitated patients more rapidly than haloperidol-promethazine

Midazolam sedates agitated patients more rapidly than haloperidol-promethazine Midazolam sedates agitated patients more rapidly than haloperidol-promethazine | Evidence-Based Mental Health This site uses cookies. By continuing to browse the site you are agreeing to our use of cookies. Log in using your username and password For personal accounts OR managers of institutional accounts Username * Password * your user name or password? Search for this keyword Search for this keyword Main menu Log (...) in using your username and password For personal accounts OR managers of institutional accounts Username * Password * your user name or password? You are here Midazolam sedates agitated patients more rapidly than haloperidol-promethazine Article Text Therapeutics Midazolam sedates agitated patients more rapidly than haloperidol-promethazine Free Paul S Waraich , MHSc MD FRCP(C) Statistics from Altmetric.com No Altmetric data available for this article. TREC Collaborative Group. Rapid tranquillisation

Evidence-Based Mental Health2005

190. Sedation of anxious children undergoing dental treatment.

Sedation of anxious children undergoing dental treatment. BACKGROUND: Anxiety about dental treatment maybe a barrier to its uptake in children. Sedation can be used to relieve anxiety and manage behaviour, unfortunately it is difficult to determine from published research which agents, dosages and techniques are effective. OBJECTIVES: To evaluate the relative efficacy of the various conscious sedation techniques and dosages for behaviour management in paediatric dentistry. SEARCH STRATEGY (...) restrictions. Trials pre-1966 were not searched. SELECTION CRITERIA: Studies were selected if they met the following criteria: randomised controlled trials of conscious sedation comparing two or more drugs/techniques/placebo undertaken by the dentist or one of the dental team in anxious children up to 16 years of age. DATA COLLECTION AND ANALYSIS: Information regarding methods, participants, interventions and outcome measures and results were independently extracted, in duplicate, by two authors

Cochrane2005

191. Painful procedures in children with cancer: comparison of moderate sedation and general anesthesia for lumbar puncture and bone marrow aspiration

Painful procedures in children with cancer: comparison of moderate sedation and general anesthesia for lumbar puncture and bone marrow aspiration Painful procedures in children with cancer: comparison of moderate sedation and general anesthesia for lumbar puncture and bone marrow aspiration Painful procedures in children with cancer: comparison of moderate sedation and general anesthesia for lumbar puncture and bone marrow aspiration Iannalfi A, Bernini G, Caprilli S, Lippi A, Tucci F, Messeri (...) A Record Status This is a critical abstract of an economic evaluation that meets the criteria for inclusion on NHS EED. Each abstract contains a brief summary of the methods, the results and conclusions followed by a detailed critical assessment on the reliability of the study and the conclusions drawn. Health technology The use of either moderate sedation or general anaesthesia for children undergoing lumbar puncture or bone marrow aspiration. Moderate sedation consisted of either premixed nitrous

NHS Economic Evaluation Database.2005

194. Physician reports of terminal sedation without hydration or nutrition for patients nearing death in the Netherlands.

Physician reports of terminal sedation without hydration or nutrition for patients nearing death in the Netherlands. BACKGROUND: Terminal sedation in patients nearing death is an important issue related to end-of-life care. OBJECTIVE: To describe the practice of terminal sedation in the Netherlands. DESIGN: Face-to-face interviews. SETTING: The Netherlands. PARTICIPANTS: Nationwide stratified sample of 482 physicians; 410 responded and 211 of these reported characteristics of their most recent (...) terminal sedation case. MEASUREMENTS: Physician reports of frequency of terminal sedation (defined as the administration of drugs to keep the patient in deep sedation or coma until death, without giving artificial nutrition or hydration), characteristics of the decision-making process, drugs used, the estimated life-shortening effect, and frequency of euthanasia discussions. RESULTS: Of respondents, 52% (95% CI, 48% to 57%) had ever used terminal sedation. Of the 211 most recent cases, physicians used

Annals of Internal Medicine2004

195. Evidence in orthopaedics: comparison of intra-articular lidocaine vs. intravenous analgesia and sedation for reduction of acute shoulder dislocation

Evidence in orthopaedics: comparison of intra-articular lidocaine vs. intravenous analgesia and sedation for reduction of acute shoulder dislocation Evidence in orthopaedics: comparison of intra-articular lidocaine vs. intravenous analgesia and sedation for reduction of acute shoulder dislocation Evidence in orthopaedics: comparison of intra-articular lidocaine vs. intravenous analgesia and sedation for reduction of acute shoulder dislocation Ceccarelli E, Bondi R, Campi S CRD summary (...) This review concluded that there were no significant differences between intra-articular lidocaine (IAL) and intravenous analgesia and sedation (IVAS) for the reduction of acute shoulder dislocation in relation to pain or success of reduction. However, IAL is an excellent alternative for patients in whom IVAS is not indicated. Given that the review had several limitations, the authors' conclusions should be interpreted with caution. Authors' objectives To compare intra-articular lidocaine (IAL

DARE.2004

196. Sedation versus no sedation in the performance of diagnostic upper gastrointestinal endoscopy: a Canadian randomized controlled cost-outcome study

Sedation versus no sedation in the performance of diagnostic upper gastrointestinal endoscopy: a Canadian randomized controlled cost-outcome study Sedation versus no sedation in the performance of diagnostic upper gastrointestinal endoscopy: a Canadian randomized controlled cost-outcome study Sedation versus no sedation in the performance of diagnostic upper gastrointestinal endoscopy: a Canadian randomized controlled cost-outcome study Abraham N S, Fallone C A, Mayrand S, Huang J, Wieczorek P (...) , Barkun A N Record Status This is a critical abstract of an economic evaluation that meets the criteria for inclusion on NHS EED. Each abstract contains a brief summary of the methods, the results and conclusions followed by a detailed critical assessment on the reliability of the study and the conclusions drawn. Health technology The use of diagnostic upper gastrointestinal oesophagogastroduodenal endoscopy (EGDE) with sedation was considered. It is the most commonly performed endoscopy

NHS Economic Evaluation Database.2004

198. Guideline for ketamine sedation in emergency departments

Guideline for ketamine sedation in emergency departments Registered Charity No 273876 BRITISH ASSOCIATION FOR EMERGENCY MEDICINE Churchill House 3 rd Floor, 35 Red Lion Square London, WC1R 4SG United Kingdom Tel: +44 (0)20 7404 1999 Fax: +44 (0)20 7067 1267 Email: baem@emergencymedicine.uk.net Web: www.emergencymed.org.uk CLINICAL EFFECTIVENESS COMMITTEE GUIDELINE FOR KETAMINE SEDATION IN EMERGENCY DEPARTMENTS Introduction Ketamine is a powerful anaesthetic agent with anxiolytic and analgesic (...) and amnesic properties with a wide safety margin. This guideline covers its use in analgesic sedation, primarily for children. The doses advised for analgesic sedation are designed to leave the patient capable of protecting their airway. Consequently there is a significant risk of failure of sedation and the clinician must recognise that the option of general anaesthesia must be discussed with the patient and parents. Ketamine should be only used by clinicians experienced in its use and capable

Publication 10832004

199. Monitoring sedation status over time in ICU patients: reliability and validity of the Richmond Agitation-Sedation Scale (RASS).

Monitoring sedation status over time in ICU patients: reliability and validity of the Richmond Agitation-Sedation Scale (RASS). CONTEXT: Goal-directed delivery of sedative and analgesic medications is recommended as standard care in intensive care units (ICUs) because of the impact these medications have on ventilator weaning and ICU length of stay, but few of the available sedation scales have been appropriately tested for reliability and validity. OBJECTIVE: To test the reliability (...) and validity of the Richmond Agitation-Sedation Scale (RASS). DESIGN: Prospective cohort study. SETTING: Adult medical and coronary ICUs of a university-based medical center. PARTICIPANTS: Thirty-eight medical ICU patients enrolled for reliability testing (46% receiving mechanical ventilation) from July 21, 1999, to September 7, 1999, and an independent cohort of 275 patients receiving mechanical ventilation were enrolled for validity testing from February 1, 2000, to May 3, 2001. MAIN OUTCOME MEASURES

JAMA2003

200. Sedation and performance impairment of diphenhydramine and second-generation antihistamines: a meta-analysis

Sedation and performance impairment of diphenhydramine and second-generation antihistamines: a meta-analysis Sedation and performance impairment of diphenhydramine and second-generation antihistamines: a meta-analysis Sedation and performance impairment of diphenhydramine and second-generation antihistamines: a meta-analysis Bender B G, Berning S, Dudden R, Milgrom H, Tran Z V CRD summary This poorly reported review compared the sedating and performance-impairing effects of diphenhydramine (...) versus placebo and second-generation antihistamines. The authors' concluded that no clear and consistent differences existed between diphenhydramine and second-generation antihistamines. Although the review has a number of methodological limitations, the authors' are right to call for further research to clarify the mixed results of the included studies. Authors' objectives To compare the effect of diphenhydramine with placebo and second-generation antihistamines on sedation and performance

DARE.2003