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Books on the topic 'Sedation guidelines'

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Author: Grafiati

Published: 10 December 2022

Last updated: 19 February 2023

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Dentistry, Society of the Advancement of Anaesthesia in. Guidelines for physiological monitoring of patients during dental anaesthesiaor sedation. London: Society for the Advancement of Anaesthesia in Dentistry, 1990.

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Hawryluck, L. Consensus guidelines on analgesia and sedation in dying ICU patients. Ottawa: National Library of Canada, 1999.

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Luotio, Kari. Monitored intravenous sedation with local anaesthesia for dental outpatients: Clinical observations : eight studies and clinical guidelines. Elimäki: Osfix, 1998.

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Krauss, Baruch S., Frances J. Damian, and Michael Shannon. Guidelines for Pediatric Procedural Sedation. 2nd ed. Amer College of Emerg Physicians, 1998.

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Group, Dental Sedation Teachers. Sedation in dentistry: Undergraduate training : guidelines for teachers. Dental Sedation Teachers Group, 1999.

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Association, American Dental, ed. Guidelines for the use of conscious sedation, deep sedation and general anesthesia for dentists. 1997.

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Ivanova, Iskra I., and Lynn D. Martin. Sedation and Analgesia. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780199918027.003.0010.

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This chapter on sedation and analgesia provides essential information on how to achieve and monitor the comfort of patients safely in the pediatric intensive care unit. Included is succinct information about dosing, pharmacodynamics, and pharmacokinetics of benzodiazepines, opiates, and other sedatives (propofol, etomidate, ketamine, dexmedetomidine, and nonsteroidal anti-inflammatory agents), as well as the antagonists naloxone and flumazenil. Information is also provided about the use and dosage of both depolarizing and nondepolarizing neuromuscular blocking agents (muscle relaxants) and American Society of Anesthesiologists guidelines for fasting (i.e., nothing by mouth) times before elective endotracheal intubation. The chapter also includes key information regarding the recognition and treatment of malignant hyperthermia.

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Metzner, Julia, and Karen B. Domino. Procedural Sedation by Nonanesthesia Providers. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780190495756.003.0009.

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Although anesthesiologists and certified registered nurse anesthetists are experts in sedation/analgesia outside of the operating room, extensive demand in the face of limited resources has resulted in sedation being routinely performed by nonanesthesia health care providers. Safe administration of procedural sedation/analgesia by nonanesthesia professionals requires an understanding of the continuum of sedation/general anesthesia; extensive training and credentialing of personnel performing sedation; appropriate patient preparation and selection, with an anesthesia consult for higher-risk patients; adherence to fasting guidelines, standard equipment, and monitoring procedures; and a thorough knowledge of the pharmacologic and physiologic properties of sedative and analgesic drugs. This chapter briefly reviews the essential elements needed to develop a safe policy for sedation by nonanesthesia practitioners.

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Sterckx, Sigrid, and Kasper Raus. Continuous Sedation at the End of Life. Edited by Stuart J. Youngner and Robert M. Arnold. Oxford University Press, 2014. http://dx.doi.org/10.1093/oxfordhb/9780199974412.013.7.

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This chapter examines continuous sedation as a way to relieve unbearable suffering in patients at the end of life. After considering consensus and guidelines on continuous sedation, it looks at the debate over terminology and definition. It then discusses the practice of continuous sedation in various countries and how it is performed, along with the importance of patient consent and autonomy in all sedation guidelines. The chapter goes on to analyze some of the commonly invoked justifications for continuous sedation, including the doctrine of double effect, last resort and refractory suffering, autonomy and patient consent, and proportionality. It also reviews contentious issues raised by continuous sedation, such as whether it should be restricted to patients with a very short life expectancy, artificial nutrition and hydration, and existential or psychological suffering.

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Mistraletti, Giovanni, and Gaetano Iapichino. Sedation assessment in the critically ill. Oxford University Press, 2016. http://dx.doi.org/10.1093/med/9780199600830.003.0358.

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Patient comfort is a primary goal in ICU, but achieving and maintaining the appropriate balance of analgesia, sedation, and treatment of delirium is frequently challenging. International guidelines recommend keeping critically-ill patients calm and cooperative, awake in daytime and asleep at night, always avoiding deep sedation. To state the actual level of sedation and the desired one, it is necessary to frequently perform a sedation assessment with validated tools. Subjective methods are the most useful guides in ICU consciously-sedated patients, representing the gold standard for good clinical practice. Use of such a scale is a key component of sedation algorithms. The ideal scoring system should be easy, reliable, sensitive, and with minimal interobserver variability, giving no or minimal additional discomfort to the patient. Most of the proposed tools are a compromise between accuracy and time required for evaluation; the most used are the Richmond Agitation-Sedation Scale and the Sedation-Agitation Scale.

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Grech, Dennis, and Laurence M. Hausman. Anesthetic Techniques. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780190495756.003.0004.

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Anesthetic techniques for procedures performed outside the traditional operating room are varied. General anesthesia, sedation, and regional anesthesia can all be delivered in this venue. The choice of technique is based on safety considerations and patient comorbidities. Perioperative monitoring such as pulse oximetry, end-tidal carbon dioxide monitoring, and electrocardiography and blood pressure monitoring protocols must be consistent with American Society of Anesthesiologists guidelines. Common procedures include elective office-based anesthetics, emergency room sedations, endoscopic retrograde cholangiopancreatographies in the gastroenterology suite, and minimally invasive interventions in the radiology department. Because most of these locations have limited postanesthesia care unit capabilities, the patient’s rapid return to baseline functioning and the ability to be discharged quickly, safely, and comfortably are important goals. Thus, anesthetic technique and the pharmacokinetics and pharmacodynamics of the anesthetics, analgesics, antiemetics, and local anesthetics are of utmost importance.

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Metzner, Julia, and Karen B. Domino. Outcomes, Regulation, and Quality Improvement. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780190495756.003.0010.

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To improve the safety of patients undergoing procedures in remote locations, practitioners should be familiar with rigorous continuous quality improvement systems, national and regulatory patient safety efforts, as well as complications related to anesthesia/sedation in out of the operating room (OOOR) settings. This chapter discusses severe outcomes and mechanisms of injury in OOOR locations, national patient safety and regulatory efforts that may be adapted to the OOOR setting, and quality improvement efforts essential to track outcomes and improve patient safety. Patient safety can be improved by adherence to respiratory monitoring (e.g., pulse oximetry and capnography), sedation standards/guidelines and national patient safety and regulatory efforts, and development of vigorous quality improvement systems to measure outcomes and make changes.

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IV conscious sedation: Policy and procedure guideline manual. Academy Medical Systems, 1996.

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Mahmoud, Mohamed, Robert S. Holzman, and Keira P. Mason. Pediatric Anesthesia Outside of the Operating Room. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780190495756.003.0027.

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This textbook provides an important tool to cover major aspects of anesthesia care in non–operating room anesthesia (NORA) locations. It outlines perioperative concerns for the most commonly performed procedures in NORA settings. An overview of various anesthesia delivery techniques and tools required to optimize the patient before endoscopy, cardiac, and neuroradiology procedures are provided. The text also covers specialized situations, including a pediatric update on anesthesia/sedation strategies for dental procedures, electroconvulsive therapy, cosmetic procedures, ophthalmologic surgery, procedures in the emergency department, and infertility treatment. Practical recommendations based on current literature and author experience are presented, and current practice guidelines are reviewed.

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Chapman, Stephen J., Grace V. Robinson, Rahul Shrimanker, Chris D. Turnbull, and John M. Wrightson. Oxford Handbook of Respiratory Medicine. 4th ed. Oxford University Press, 2021. http://dx.doi.org/10.1093/med/9780198837114.001.0001.

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Revised and updated for its third edition, the Oxford Handbook of Respiratory Medicine is concise, practical, and designed for rapid access to essential information. It covers the latest clinical guidelines and developments in the field and features unique sections on practical procedures, as well as a symptoms section to aid in differential diagnosis and clinical management. Practical advice on management is integrated throughout and a dedicated section on respiratory emergencies ensures the ability to cope with any eventuality. New sections include thoracic ultrasound, indwelling pleural catheters, safe sedation, and cardiopulmonary exercise testing, and this new edition covers all major respiratory diseases and symptoms.

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Urman, Richard D., Wendy L. Gross, and Beverly K. Philip, eds. Anesthesia Outside the Operating Room. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780190495756.001.0001.

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Anesthesia Outside of the Operating Room 2nd edition covers all aspects of providing anesthesia in settings outside of the main operating room, with a special focus on techniques, procedures and safety considerations. It discusses anesthetic concerns by procedure location, and includes selected latest guidelines from the American Society of Anesthesiologists (ASA) and other professional societies. Topics include patient monitoring techniques, pre-procedure evaluation and post-procedure care, and procedural sedation performed by non-anesthesia providers. The authors address problems of anesthesia that have unique answers in settings outside the operating room, such as patient transport and cardiac arrest, and discuss technological progress and considerations for the future. The text also covers surgical procedures and anesthetic considerations by procedure location, such as radiology, infertility clinics, field and military environments, and pediatric settings.

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Rushworth, Bethany, and Anastasios Kanatas, eds. Oxford Handbook of Clinical Dentistry. Oxford University Press, 2020. http://dx.doi.org/10.1093/med/9780198832171.001.0001.

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The Oxford Handbook of Clinical Dentistry distils the essentials of clinical practice. It balances a pragmatic approach alongside evidence-based clinical knowledge, guidelines, and protocols. It details how to take a history and perform an examination, moving on to discussing preventive and community dentistry, paediatric dentistry, and orthodontics. It thoroughly examines the subject of restorative dentistry through periodontology, tooth repair, tooth replacement, endodontics, and dental implants. It also explores oral surgery, oral medicine, and maxillofacial surgery. It reviews medicine relevant to dentistry, therapeutics, analgesia, anaesthesia, sedation, and dental materials. It explores law and ethics, professionalism and communication, and practice management, as well as syndromes of the head and neck, and also includes summary useful information and addresses. It is written for undergraduate dental students, dental foundation trainees, qualified dental practitioners, medical graduates and nurses involved in hospital dental specialities, and MJDF/MFDS trainees.

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Gross, Wendy L., and Richard D. Urman. Challenges of Anesthesia Outside of the Operating Room. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780190495756.003.0001.

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As health care bears the simultaneous burdens of rapid technological development and increasing financial constraints, there has been significant increase in the number and types of procedures performed outside of the operating room. The broadening scope and complexity of noninvasive procedures, along with increasing acuity of patients, often make deeper sedation, general anesthesia, and robust hemodynamic monitoring both necessary and challenging. Anesthesiologists are more frequently called upon to provide care for medically complex patients undergoing novel, unfamiliar procedures in nontraditional locations. As technology advances, the number of procedure areas and the need for anesthesia services proliferates. The landscape of anesthesiology, therefore, is changing; new challenges and opportunities have emerged. This chapter provides an overview of these challenges, including assessing locations, equipment considerations, integrating care teams, safety guidelines, preprocedural patient evaluation and postprocedure care, commonly encountered problems, and financial considerations.

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Amin, Annie, and Thomas W. Cutter. Anesthesia for Diagnostic and Therapeutic Radiologic Procedures. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780190495756.003.0015.

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This chapter discusses the use of anesthetics in a variety of diagnostic and therapeutic radiologic procedures. Diagnostic procedures are anatomic or functional, minimally or noninvasive, and seldom require anesthesia support; anesthesia is typically only requested for these procedures because of a patient’s physiological or psychological needs. Recognizing and addressing a patient’s comorbidities and other concerns are similar to care given in the surgical setting. The imaging environment and procedures pose additional requirements and constraints, which are unique and require specific solutions; there is frequently no single best anesthetic technique for a given procedure. Radiologists serve the critical function of deciding whether to consult the anesthesiologist or perform a procedure alone. If the decision is to proceed with moderate sedation (administered by a nonanesthesia professional), the importance of vigilant clinical monitoring cannot be understated. In all cases, the patient deserves care that is consistent with the parameters, guidelines, and standards established by the various accrediting agencies and professional societies

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Modir, Shahla, and George Munoz, eds. Integrative Addiction and Recovery. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780190275334.001.0001.

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Integrative Addiction and Recovery is a book discussing the epidemic of addiction that is consuming our friends, family, and community nationwide. In 2016, there were 64,000 drug overdoses, and addiction became the top cause of accidental death in America in 2015. We are in a crisis and in need of a robust and integrated solution. We begin with the definition of addiction, neurobiology of addiction, and the epidemiology of varying substances of abuse and treatment guidelines. Section II reviews different types of addiction such as food, alcohol, sedative-hypnotics, cannabis, stimulants (such as cocaine and methamphetamine), opiates (including prescription and illicit opiates), and tobacco, and evidence-based approaches for their treatment using psychotherapy, pharmacotherapy, as well as holistic treatments including acupuncture, nutraceuticals, exercise, yoga, and meditation. We also have chapters on behavioral addictions and hallucinogens. Section III reviews co-occurring disorders and their evidence-based integrative treatment and also overviews the holistic therapeutic techniques such as acupuncture and TCM, Ayurveda, homeopathy, nutrition, nutraceuticals, art and aroma therapy, and equine therapy as tools for recovery. We have unique chapters on shamanism and ibogaine, as well as spirituality and group support (12 steps included). The final section deals with challenges facing recovery such as trauma, acute/chronic pain, and post acute withdrawal. Integrative Addiction and Recovery is an innovative and progressive textbook, navigating this complex disease with the most comprehensive approach.

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