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Ann R Coll Surg Engl · Jan 1994
Intravenous sedation in accident and emergency departments: a nationwide survey.
- B H Aslam and I Woods.
- Anaesthetic Department, York District Hospital.
- Ann R Coll Surg Engl. 1994 Jan 1;76(1):19-21.
AbstractAnonymous questionnaires regarding the practice of intravenous sedation were sent to all accident and emergency departments in England and Wales. The response rate was 63%. Intravenous sedation was used by 94% of the departments who replied. In 19% of these departments it was administered only by middle grade or senior grade clinicians, while in the remaining 81% sedation was also administered by junior grade clinicians. Diazepam, midazolam and opioids were the most commonly used agents. The use of monitoring was variable. In 16% of the units no monitoring was used routinely. ECG monitoring was carried out by 48% of the departments, non-invasive blood pressure monitoring by 67% and pulse oximetry by 65%. Our findings indicate there is a need for guidelines regarding patient selection, the choice of drugs and the monitoring of patients.
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