Clinical policy: procedural sedation and analgesia in the emergency department.

Published

Journal Article (Review)

This clinical policy from the American College of Emergency Physicians is the revision of a 2005 clinical policy evaluating critical questions related to procedural sedation in the emergency department.1 A writing subcommittee reviewed the literature to derive evidence-based recommendations to help clinicians answer the following critical questions: (1) In patients undergoing procedural sedation and analgesia in the emergency department,does preprocedural fasting demonstrate a reduction in the risk of emesis or aspiration? (2) In patients undergoing procedural sedation and analgesia in the emergency department, does the routine use of capnography reduce the incidence of adverse respiratory events? (3) In patients undergoing procedural sedation and analgesia in the emergency department, what is the minimum number of personnel necessary to manage complications? (4) Inpatients undergoing procedural sedation and analgesia in the emergency department, can ketamine, propofol, etomidate, dexmedetomidine, alfentanil and remifentanil be safely administered? A literature search was performed, the evidence was graded, and recommendations were given based on the strength of the available data in the medical literature.

Full Text

Duke Authors

Cited Authors

  • Godwin, SA; Burton, JH; Gerardo, CJ; Hatten, BW; Mace, SE; Silvers, SM; Fesmire, FM; American College of Emergency Physicians,

Published Date

  • February 2014

Published In

Volume / Issue

  • 63 / 2

Start / End Page

  • 247 - 58.e18

PubMed ID

  • 24438649

Pubmed Central ID

  • 24438649

Electronic International Standard Serial Number (EISSN)

  • 1097-6760

Digital Object Identifier (DOI)

  • 10.1016/j.annemergmed.2013.10.015

Language

  • eng

Conference Location

  • United States