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Curr Opin Crit Care · Aug 2011
ReviewProcedural sedation and analgesia in the emergency department.
- Alan J Smally, Thomas A Nowicki, and Bernard H Simelton.
- Division of Emergency Medicine, Department of Traumatology and Emergency Medicine, Hartford Hospital, Hartford, Connecticut 06102, USA. asmally@harthosp.org
- Curr Opin Crit Care. 2011 Aug 1;17(4):317-22.
Purpose Of ReviewProcedural sedation and analgesia is frequently administered outside of the operating room in emergency departments (EDs) and ICUs. Evidence was sought concerning patients' safety in the ED.Recent FindingsProcedural sedation, when administered in the ED by trained personnel, is safe. Extensive literature demonstrates that propofol, ketamine, midazalam, and fentanyl are appropriate medications with proper monitoring and the presence of appropriate personnel. Preprocedural fasting may not be necessary in many cases.SummaryWith appropriately trained personnel, proper equipment, and the studied drugs ED sedation and analgesia is safe and an appropriate procedure.
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