Latest & greatest articles for sedation

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Top results for sedation

61. Practice Advisory: FDA Warnings Regarding Use of General Anesthetics and Sedation Drugs in Young Children and Pregnant Women

Practice Advisory: FDA Warnings Regarding Use of General Anesthetics and Sedation Drugs in Young Children and Pregnant Women Practice Advisory: FDA Warnings Regarding Use of General Anesthetics and Sedation Drugs in Young Children and Pregnant Women - ACOG Menu ▼ Practice Advisory: FDA Warnings Regarding Use of General Anesthetics and Sedation Drugs in Young Children and Pregnant Women Page Navigation ▼ Share: Practice Advisory: FDA Warnings Regarding Use of General Anesthetics and Sedation (...) Drugs in Young Children and Pregnant Women December 21, 2016 This is an area of evolving care and practice. Fellows should check periodically for revisions and updates. ACOG will communicate important changes and updates to these guidelines. On December 14, 2016, the U.S. Food and Drug Administration (FDA) published a Drug Safety Communications entitled " " (1,2). In this announcement, the FDA announced that it will require warnings to be added to the labels of general anesthetic and sedation drugs

American College of Obstetricians and Gynecologists2016

62. Colonoscopy Outcomes by Duration of NPO Status Prior to Colonoscopy with Moderate or Deep Sedation

Colonoscopy Outcomes by Duration of NPO Status Prior to Colonoscopy with Moderate or Deep Sedation Department of Veterans Affairs Health Services Research & Development Service Evidence-based Synthesis Program Colonoscopy Outcomes by Duration of NPO Status Prior to Colonoscopy with Moderate or Deep Sedation January 2015 Prepared for: Department of Veterans Affairs Veterans Health Administration Quality Enhancement Research Initiative Health Services Research & Development Service Washington, DC (...) new ESP topics of importance to Veterans and the VA healthcare system. Comments on this evidence report are welcome and can be sent to Nicole Floyd, ESP Coordinating Center Program Manager, at Nicole.Floyd@va.gov. Recommended citation: Example: Shaukat A, Wels J, Malhotra A, Greer N, MacDonald R, Carlyle M, Rutks I, and Wilt T J. Colonoscopy Outcomes by Duration of NPO Status Prior to Colonoscopy with Moderate or Deep Sedation. VA ESP Project #09-009; 2015. This report is based on research

Veterans Affairs Evidence-based Synthesis Program Reports2015

63. Prospective evaluation of sedation-related adverse events in pediatric patients ventilated for acute respiratory failure

Prospective evaluation of sedation-related adverse events in pediatric patients ventilated for acute respiratory failure PEDSCCM.org Criteria abstracted from series in Review Posted: founded 1995 Questions or comments?

PedsCCM Evidence-Based Journal Club2015

64. Sedation versus general anaesthesia for provision of dental treatment to patients younger than 18 years.

Sedation versus general anaesthesia for provision of dental treatment to patients younger than 18 years. BACKGROUND: A significant proportion of children have caries requiring restorations or extractions, and some of these children will not accept this treatment under local anaesthetic. Historically this has been managed by the use of a general anaesthetic in children; however, use of sedation may lead to reduced morbidity and cost. The aim of this review was to compare the efficiency (...) of sedation versus general anaesthesia (GA) for provision of dental treatment to children and adolescents younger than 18 years. This review was originally published in 2009 and was updated in 2012 and again in 2015. OBJECTIVES: We will evaluate morbidity and effectiveness of sedation versus GA for provision of dental treatment to patients younger than 18 years. If data become available, we will analyse the cost-effectiveness of different interventions. If data are not available, we will obtain crude

Cochrane2015

65. The Diagnostic Performance of the Richmond Agitation Sedation Scale for Detecting Delirium in Older Emergency Department Patients

The Diagnostic Performance of the Richmond Agitation Sedation Scale for Detecting Delirium in Older Emergency Department Patients 26113020 2015 07 15 2016 02 03 2017 02 20 1553-2712 22 7 2015 Jul Academic emergency medicine : official journal of the Society for Academic Emergency Medicine Acad Emerg Med The Diagnostic Performance of the Richmond Agitation Sedation Scale for Detecting Delirium in Older Emergency Department Patients. 878-82 10.1111/acem.12706 Delirium is frequently missed (...) in older emergency department (ED) patients. Brief (<2 minutes) delirium assessments have been validated for the ED, but some ED health care providers may consider them to be cumbersome. The Richmond Agitation Sedation Scale (RASS) is an observational scale that quantifies level of consciousness and takes less than 10 seconds to perform. The authors sought to explore the diagnostic accuracy of the RASS for delirium in older ED patients. This was a preplanned analysis of a prospective observational

EvidenceUpdates2015 Full Text: Link to full Text with Trip Pro

66. Standards for Conscious Sedation in the Provision of Dental Care

Standards for Conscious Sedation in the Provision of Dental Care Standards for Conscious Sedation in the Provision of Dental Care The dental faculties of the royal colleges of surgeons and the Royal College of Anaesthetists 2015 Report of the Intercollegiate Advisory Committee for Sedation in Dentistry2 Executive summary 03 Committee members 04 Foreword 06 Introduction 07 Options for care 08 Preparation for sedation 10 Consent for treatment 10 Patient information 11 Fasting 12 Clinical (...) environment for sedation 13 Nature of the clinical team for sedation 14 Techniques of sedation 15 Essential principles of safe sedation practice 15 Specific techniques 16 Peri-operative care 18 Monitoring 18 Complications 18 Recovery, discharge and aftercare 19 Clinical governance and audit 20 Education and training 21 Sections Section 1: Care pathways 23 Section 2: Clinical sedation techniques 25 Section 3: Peri-operative care 30 Section 4: Patient information 32 Section 5: Education and training 34

Royal College of Anaesthetists2015

67. Guidance on the provision of anaesthesia services for sedation 2015

Guidance on the provision of anaesthesia services for sedation 2015 Document Store | The Royal College of Anaesthetists User menu Search Document Store This page displays listings of ALL publications added to the site. You can narrow down the list by entering keywords in the 'Search' field, and selecting 'Apply'. To filter the publications by section, tick the check-boxes of the desired sections, and select 'Apply'. You can set the ordering of the results by the publication title

Royal College of Anaesthetists2015

68. Protocolized Sedation vs Usual Care in Pediatric Patients Mechanically Ventilated for Acute Respiratory Failure: A Randomized Clinical Trial

Protocolized Sedation vs Usual Care in Pediatric Patients Mechanically Ventilated for Acute Respiratory Failure: A Randomized Clinical Trial PEDSCCM.org Criteria abstracted from series in Review Posted: founded 1995 Questions or comments?

PedsCCM Evidence-Based Journal Club2015

69. The use of propofol for procedural sedation in emergency departments.

The use of propofol for procedural sedation in emergency departments. BACKGROUND: There is increasing evidence that propofol is efficacious and safe for procedural sedation (PS) in the emergency department (ED) setting. However, propofol has a narrow therapeutic window and lacks of a reversal agent. The aim of this review was to cohere the evidence base regarding the efficacy and safety profile of propofol when used in the ED setting for PS. OBJECTIVES: To identify and evaluate all randomized

Cochrane2015

70. Deep Sedation and General Anaesthesia in Young Children

Deep Sedation and General Anaesthesia in Young Children Disclaimer: The Rapid Response Service is an information service for those involved in planning and providing health care in Canada. Rapid responses are based on a limited literature search and are not comprehensive, systematic reviews. The intent is to provide a list of sources of the best evidence on the topic that CADTH could identify using all reasonable efforts within the time allowed. Rapid responses should be considered along (...) . It may not be copied, posted on a web site, redistributed by email or stored on an electronic system without the prior written permission of CADTH or applicable copyright owner. Links: This report may contain links to other information available on the websites of third parties on the Internet. CADTH does not have control over the content of such sites. Use of third party sites is governed by the owners’ own terms and conditions. TITLE: Deep Sedation and General Anaesthesia in Young Children: Safety

Canadian Agency for Drugs and Technologies in Health - Rapid Review2015

71. The use of bispectral index monitoring (BIS) in conscious sedation

The use of bispectral index monitoring (BIS) in conscious sedation BestBets: The use of bispectral index monitoring (BIS) in conscious sedation The use of bispectral index monitoring (BIS) in conscious sedation Report By: Alexia Williams - Emergency Medicine ST6 Search checked by Dr Abdo Sattout - Consultant in Emergency Medicine Institution: University Hospital Aintree, Merseyside, UK Date Submitted: 20th September 2014 Date Completed: 6th May 2015 Last Modified: 6th May 2015 Status: Green (...) (complete) Three Part Question In [adult patients requiring conscious sedation in the Emergency Department] does the use of [bispectral index monitoring] improve [safety]? Clinical Scenario A 25-year-old man presents to the emergency department (ED) with a fracture dislocation of his ankle. His ankle needs reducing, and you intend to use conscious sedation to facilitate this. You wonder whether bispectral index monitoring (BIS) would help achieve an appropriate level of sedation, thereby reducing

BestBETS2015

72. Protocolized sedation vs usual care in pediatric patients mechanically ventilated for acute respiratory failure: a randomized clinical trial.

Protocolized sedation vs usual care in pediatric patients mechanically ventilated for acute respiratory failure: a randomized clinical trial. 25602358 2015 01 28 2015 02 11 2017 02 20 1538-3598 313 4 2015 Jan 27 JAMA JAMA Protocolized sedation vs usual care in pediatric patients mechanically ventilated for acute respiratory failure: a randomized clinical trial. 379-89 10.1001/jama.2014.18399 Protocolized sedation improves clinical outcomes in critically ill adults, but its effect in children (...) is unknown. To determine whether critically ill children managed with a nurse-implemented, goal-directed sedation protocol experience fewer days of mechanical ventilation than patients receiving usual care. Cluster randomized trial conducted in 31 US pediatric intensive care units (PICUs). A total of 2449 children (mean age, 4.7 years; range, 2 weeks to 17 years) mechanically ventilated for acute respiratory failure were enrolled in 2009-2013 and followed up until 72 hours after opioids were discontinued

JAMA2015

73. Protocolized sedation vs usual care in pediatric patients mechanically ventilated for acute respiratory failure: a randomized clinical trial.

Protocolized sedation vs usual care in pediatric patients mechanically ventilated for acute respiratory failure: a randomized clinical trial. IMPORTANCE: Protocolized sedation improves clinical outcomes in critically ill adults, but its effect in children is unknown. OBJECTIVE: To determine whether critically ill children managed with a nurse-implemented, goal-directed sedation protocol experience fewer days of mechanical ventilation than patients receiving usual care. DESIGN, SETTING (...) , AND PARTICIPANTS: Cluster randomized trial conducted in 31 US pediatric intensive care units (PICUs). A total of 2449 children (mean age, 4.7 years; range, 2 weeks to 17 years) mechanically ventilated for acute respiratory failure were enrolled in 2009-2013 and followed up until 72 hours after opioids were discontinued, 28 days, or hospital discharge. INTERVENTION: Intervention PICUs (17 sites; n = 1225 patients) used a protocol that included targeted sedation, arousal assessments, extubation readiness testing

JAMA2015

74. Palliative pharmacological sedation for terminally ill adults.

Palliative pharmacological sedation for terminally ill adults. BACKGROUND: Terminally ill people experience a variety of symptoms in the last hours and days of life, including delirium, agitation, anxiety, terminal restlessness, dyspnoea, pain, vomiting, and psychological and physical distress. In the terminal phase of life, these symptoms may become refractory, and unable to be controlled by supportive and palliative therapies specifically targeted to these symptoms. Palliative sedation (...) therapy is one potential solution to providing relief from these refractory symptoms. Sedation in terminally ill people is intended to provide relief from refractory symptoms that are not controlled by other methods. Sedative drugs such as benzodiazepines are titrated to achieve the desired level of sedation; the level of sedation can be easily maintained and the effect is reversible. OBJECTIVES: To assess the evidence for the benefit of palliative pharmacological sedation on quality of life, survival

Cochrane2015

75. Prospective multicentre randomised, double-blind, equivalence study comparing clonidine and midazolam as intravenous sedative agents in critically ill children: the SLEEPS (Safety profiLe, Efficacy and Equivalence in Paediatric intensive care Sedation) st

Prospective multicentre randomised, double-blind, equivalence study comparing clonidine and midazolam as intravenous sedative agents in critically ill children: the SLEEPS (Safety profiLe, Efficacy and Equivalence in Paediatric intensive care Sedation) st Prospective multi-centre randomised, double-blind, equivalence study comparing clonidine and midazolam as intravenous sedative agents in critically ill children. The SLEEPS Study (Safety ProfiLe, Efficacy and Equivalence in Paediatric (...) intensive care Sedation) Journals Library An error occurred retrieving content to display, please try again. >> >> >> Page Not Found Page not found (404) Sorry - the page you requested could not be found. Please choose a page from the navigation or try a website search above to find the information you need. >> >> >> >> Issue {{metadata .Issue }} Toolkit 1)"> 0)"> {{metadata.Title}} {{metadata.Headline}} The study found that clonidine could be a viable alternative to midozolam as an intravenous sedative

NIHR HTA programme2015

76. Dexmedetomidine for Sedation in the ICU or PICU

Dexmedetomidine for Sedation in the ICU or PICU TITLE: Dexmedetomidine for Sedation in the ICU or PICU: A Review of Cost- Effectiveness and Guidelines DATE: 17 December 2014 CONTEXT AND POLICY ISSUES Sedation of ICU patients is often essential for ICU patients to maximize survival, reduce ICU and hospital stay, and facilitate mechanical ventilation. 1 The standard of care for sedation includes benzodiazepine sedatives and propofol. 1 These sedatives (notably benzodiazepines) are associated (...) with an increased risk of agitation and delirium. 1 It has been hypothesized that dexmedetomidine would be an appropriate alternative to traditional sedatives for maintaining light to moderate sedation. Dexmedetomidine is an alpha 2 -adrenergic agonist, and it is approved in Canada for intensive care unit sedation and conscious sedation. 2 In January 2014, the Canadian Agency for Drugs and Technologies in Health (CADTH) reviewed the evidence on the clinical effectiveness of using dexmedetomidine for sedation

Canadian Agency for Drugs and Technologies in Health - Rapid Review2015

77. ESMO Clinical Practice Guidelines for the Management of Refractory Symptoms at the End of Life and the Use of Palliative Sedation

ESMO Clinical Practice Guidelines for the Management of Refractory Symptoms at the End of Life and the Use of Palliative Sedation ESMOClinicalPracticeGuidelinesforthemanagement ofrefractorysymptomsattheendoflifeandtheuseof palliativesedation † N.I.Cherny 1 ,onbehalfoftheESMOGuidelinesWorkingGroup * 1 DepartmentofMedicalOncology,ShaareZedekMedicalCenter,Jerusalem,Israel Levelofevidencestatement: Since there are no randomised studies addressing this issue, all assertions are level V based on case (...) with routine measures, and that sedation may be needed to attain adequaterelief[26]. epidemiologyofrefractorysymptomsattheend oflife Among patients with advanced cancer, clinical experience sug- gests that optimal palliative care can effectively manage the symptoms of most cancer patients during most of the course of the disease. Although physical and psychological symptoms † ApprovedbytheESMOGuidelinesWorkingGroup:July2014. *Correspondence to: ESMO Guidelines Working Group, ESMO Head Of?ce, Via L. Taddei

European Society for Medical Oncology2014

78. Dexmedetomidine for sedation of patients in the ICU or PICU: review of clinical effectiveness and safety

Dexmedetomidine for sedation of patients in the ICU or PICU: review of clinical effectiveness and safety Dexmedetomidine for sedation of patients in the ICU or PICU: review of clinical effectiveness and safety Dexmedetomidine for sedation of patients in the ICU or PICU: review of clinical effectiveness and safety CADTH Record Status This is a bibliographic record of a published health technology assessment from a member of INAHTA. No evaluation of the quality of this assessment has been made (...) for the HTA database. Citation CADTH. Dexmedetomidine for sedation of patients in the ICU or PICU: review of clinical effectiveness and safety. Ottawa: Canadian Agency for Drugs and Technologies in Health (CADTH). Rapid Response - Summary with Critical Appraisal. 2014 Authors' conclusions Four meta-analyses, one systematic review, and five randomized-controlled trials were included in this review. The available evidence indicates the use of dexmedetomidine was associated with decreased ICU stay and

Health Technology Assessment (HTA) Database.2014

79. A Patient-Blinded Randomized, Controlled Trial Comparing Air Insufflation, Water Immersion, and Water Exchange During Minimally Sedated Colonoscopy

A Patient-Blinded Randomized, Controlled Trial Comparing Air Insufflation, Water Immersion, and Water Exchange During Minimally Sedated Colonoscopy 24890443 2014 09 08 2014 10 30 2015 06 19 1572-0241 109 9 2014 Sep The American journal of gastroenterology Am. J. Gastroenterol. A patient-blinded randomized, controlled trial comparing air insufflation, water immersion, and water exchange during minimally sedated colonoscopy. 1390-400 10.1038/ajg.2014.126 Minimal sedation obviates patient recovery (...) burdens, but intolerable pain limits success of cecal intubation. Painless or minimally uncomfortable insertion ensures success of cecal intubation, current patient satisfaction, and willingness to repeat future colonoscopy with minimal sedation. Water immersion (WI) and water exchange (WE), when separately compared with air insufflation (AI), significantly reduced insertion pain. To assess comparative effectiveness, we conducted a randomized controlled trial with head-to-head comparison

EvidenceUpdates2014

80. Opioid-induced sedation scales

Opioid-induced sedation scales Opioid-induced sedation scales Opioid-induced sedation scales Leas B, Betesh J Record Status This is a bibliographic record of a published health technology assessment. No evaluation of the quality of this assessment has been made for the HTA database. Citation Leas B, Betesh J. Opioid-induced sedation scales. Philadelphia: Center for Evidence-based Practice (CEP). 2014 Final publication URL Indexing Status Subject indexing assigned by CRD MeSH Analgesics, Opioids

Health Technology Assessment (HTA) Database.2014