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Ned Tijdschr Geneeskd · May 1999
Comment Review[Sedation by non-anesthesiologists should be centralized for considerations of safety].
- E W Lycklama à Nijeholt-Hamstra, R D Sibarani-Ponsen, and J J de Lange.
- Academisch Ziekenhuis Vrije Universiteit, afd. Anesthesiologie, Amsterdam.
- Ned Tijdschr Geneeskd. 1999 May 22; 143 (21): 1077-9.
AbstractSedation and analgesia for diagnostic or therapeutic procedures outside the operating room by non-anaesthesiologist physicians is becoming more frequent. In reaction to sedation casualties a multidisciplinary committee organized by the National Organization for Quality Assurance in Hospitals (CBO) has developed guidelines for sedation and analgesia by non-anaesthesiologists for psychologically or physically distressing diagnostic and therapeutic procedures. In these guidelines the conditions for a qualitatively safe way of sedation or analgesia are being emphasized. It may be expected that with these guidelines sedation and analgesia by non-anaesthesiologists will increase further. With a view to the safety of the patient diagnostic and therapeutic procedures which require sedation for psychological or physical reasons should be concentrated in a diagnostic/therapeutic complex, connected to the operating complex, where it is possible to consult the expertise of an anaesthesiologist.
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