What drugs are used for procedural sedation?

Common sedative agents include etomidate, ketamine, fentanyl, and midazolam. These have become the agents of choice for procedural sedation because of their ease of use, predictable action, and excellent safety profiles.

What is procedural sedation used for?

Procedural sedation is a medical technique. It’s used to calm a person before a procedure. It involves giving you sedatives or pain pills. These drugs ease discomfort, pain, and anxiety.

Is procedural sedation the same as conscious sedation?

Procedural sedation may be minimal, moderate, or deep (general anesthesia). Moderate sedation, also referred to as conscious sedation or twilight sedation, is drug-induced and: A patient can still respond to verbal commands. Breathing is not affected and patients can breathe on their own.

Which level of sedation is the goal for procedural sedation?

According to the ASA guidelines, most procedural sedation falls within the level of moderate sedation/analgesia although very painful procedures may require deep sedation/analgesia.

What are the side effects of conscious sedation?

What are the side effects of conscious sedation?

• Sedation may slow your breathing and the nurse may give you oxygen.
• Your blood pressure may be affected and you may get IV fluids to stabilize your blood pressure.
• Because sedation effects may linger, you may have a headache, nausea, and feel sleepy for several hours.

What does conscious sedation feel like?

The most common feelings are drowsiness and relaxation. Once the sedative takes effect, negative emotions, stress, or anxiety may also gradually disappear. You may feel a tingling sensation throughout your body, especially in your arms, legs, hands, and feet.

When is sedation used?

Sedation is typically used in minor surgical procedures such as endoscopy, vasectomy, or dentistry and for reconstructive surgery, some cosmetic surgeries, removal of wisdom teeth, or for high-anxiety patients.

Is sedation considered anesthesia?

While both sedation and general anesthesia are forms of anesthesia, and sedation is a component of general anesthesia, they are different in several respects. Patients under general anesthesia have a complete loss of consciousness.

Is procedural sedation considered anesthesia?

As a consequence, PS is not general anesthesia or pain control alone, but it is explainable as a tailored approach to the patient, based on anxiety level and pain aimed at achieving optimal sedation and analgesia for performing noninvasive and minimally invasive procedures, conducted primarily in contexts outside of …

When do you use deep sedation?

Deep sedation may be used to help your body heal after an injury or illness. It may be used to relax a person who is on a ventilator. It may also be used during painful procedures such as bandage changes, repair of a laceration, or drainage of an abscess.

Do you talk during conscious sedation?

Patients who receive conscious sedation are usually able to speak and respond to verbal cues throughout the procedure, communicating any discomfort they may experience to the provider. A brief period of amnesia may erase any memory of the procedures.

What are the guidelines for adult procedural sedation?

Guidelines for adult procedural sedation promote safe and effective medical practice: • Many procedures are more tolerable for the patient, and easier for the provider, if the patient receives sedation.

When to use sedation and Analgesia after surgery?

These guidelines apply to moderate sedation and analgesia before, during, and after procedures.

What are the different levels of sedation and analgesia?

Sedation and analgesia comprises a continuum of states ranging from minimal sedation (anxiolysis) through general anesthesia, as defined by the American Society of Anesthesiologists and accepted by the Joint Commission (table 1). 2, 3 Level of sedation is entirely independent of the route of administration.

What are the risks of deep sedation in patients?

If the patient response results in deeper sedation than intended, these sedation practices can be associated with cardiac or respiratory depression that must be rapidly recognized and appropriately managed to avoid the risk of hypoxic brain damage, cardiac arrest, or death.