analgesia sedation and anaesthesia

SEDATION AND ANALGESIA FOR DIAGNOSTIC AND THERAPEUTIC PROCEDURES docx

... for Adult Sedation and Analgesia 53 Randolph Steadman and Steve Yun Procedure and Site-Specific Considerations for Pediatric Sedation 77 Shobha Malviya Adult Sedation by Site and Procedure ... review sedation and analgesia from a wide variety of perspectives starting with the basic neurobiology and physiology of the sedated state, proceeding through clinical guidelines and practices, and ... sedatives and analgesics specifically for a diagnostic and/ or a therapeutic procedure require specific credentials for this practice It is the intent of Sedation and Analgesia for Diagnostic and Therapeutic...

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Báo cáo y học: "Optimum sedation and analgesia in critical illness: we need to keep trying" pdf

Danh mục: Báo cáo khoa học

... similar methodology to that used in the study by van de Leur and colleagues, but including an objective measure of sedation /analgesia and a means to quantify the degree of discomfort remembered ... be that it is better to use deeper sedation in ICU patients However, such sedative practice has been shown to increase the duration of mechanical ventilation and LOS in the ICU [7,8], which are ... by relatives and/ or staff to reduce the memory deficit may be useful in this context [13] From this paper we may conclude that the ideal ICU sedative regimen should produce good analgesia in...

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Báo cáo y học: "Practice of sedation and analgesia in German intensive care units: results of a national surve" pps

Danh mục: Báo cáo khoa học

... P < 0.0001.) analgesia and sedation Epidural analgesia, piritramid and NSAIDs in the different phases of analgesia and sedation The values were tested with the χ2 test (P < 0.05) and multiple ... for analgesia between 24 and 72 hours, epidural analgesia was used by 60% of all hospitals, and peripheral blocks were used by 13% For analgesia and sedation longer than 72 hours, epidural analgesia ... and Murdoch and colleagues [15] in the UK achieved similar return rates (92.5% and 79%, respectively) In a pan-European questionnaire about the practice of analgesia and sedation by Soliman and...

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Sedation and Analgesia for Diagnostic and Therapeutic Procedures – Part 1 doc

Danh mục: Sức khỏe giới tính

... for Adult Sedation and Analgesia 53 Randolph Steadman and Steve Yun Procedure and Site-Specific Considerations for Pediatric Sedation 77 Shobha Malviya Adult Sedation by Site and Procedure ... review sedation and analgesia from a wide variety of perspectives starting with the basic neurobiology and physiology of the sedated state, proceeding through clinical guidelines and practices, and ... sedatives and analgesics specifically for a diagnostic and/ or a therapeutic procedure require specific credentials for this practice It is the intent of Sedation and Analgesia for Diagnostic and Therapeutic...

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Sedation and Analgesia for Diagnostic and Therapeutic Procedures – Part 2 pptx

Danh mục: Sức khỏe giới tính

... stimulation and verbal command Deep sedation is From: Contemporary Clinical Neuroscience: Sedation and Analgesia for Diagnostic and Therapeutic Procedures Edited by: S Malviya, N N Naughton, and K ... published “Practice Guidelines for Sedation and Analgesia by Non-Anesthesiologists,” in which the term sedation and analgesia was preferred over “conscious sedation, ” as the former “more accurately ... B., and Hopkins, A (1995) Prospective audit of upper gastrointestinal endoscopy in two regions of England: safety, staffing, and sedation methods Gut 36, 462–467 161 Joas, T A (1998) Sedation and...

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Sedation and Analgesia for Diagnostic and Therapeutic Procedures – Part 3 pptx

Danh mục: Sức khỏe giới tính

... procedural sedation and analgesia in the emergency department Ann Emerg Med 31:5, 663–677 Innes, G., Murphy, M., Nijssen-Jordan, C., Ducharme, J., and Drummond, A (1999) Procedural sedation and analgesia ... that sedation by choice is more cost-effective, may be safer, and should be offered.” 13 CONCLUSIONS Numerous societies and organizations have issued guidelines regarding sedation and analgesia ... midazolam and diazepam for procedural sedation and analgesia in the emergency department Ann Emerg Med 22, 201–205 42 Manninen, P H., Chan, A S H., and Papworth, D (1997) Conscious sedation for...

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Sedation and Analgesia for Diagnostic and Therapeutic Procedures – Part 4 ppsx

Danh mục: Sức khỏe giới tính

... with sedation analgesia Controversy exists as to whether sedation analgesia is necessary for flexible sigmoidoscopy and colonoscopy In the Adult Sedation: Site and Procedure 111 United Kingdom and ... performed with sedation analgesia, usually a combination of benzodiazepines and opioid In France, 80% are completed under general anesthesia, and in Germany and Finland, sedation analgesia is rarely ... monitoring and management of pediatric patients during and after sedation for diagnostic and therapeutic procedures (1992) Pediatrics 89(6 Pt 1), 1110–1115 Practice guidelines for sedation and analgesia...

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Sedation and Analgesia for Diagnostic and Therapeutic Procedures – Part 5 pot

Danh mục: Sức khỏe giới tính

... cases Anesth Prog 38, 39–44 Adult Sedation: Site and Procedure 123 43 Krippaehne, J A and Montgomery, M T (1992) Morbidity and mortality from pharmacosedation and general anesthesia in the dental ... agent for sedation It has a rapid onset of action, is relatively easy and inexpensive to use, its effects dissipate rapidly once discontinued, and it provides amnesia, sedation, and analgesia ... administration of benzodiazepines and/ or opioids Hartvig et al used a ketamine infusion to provide sedation and analgesia following cardiac surgery in 10 infants and children ranging in age from...

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Sedation and Analgesia for Diagnostic and Therapeutic Procedures – Part 6 doc

Danh mục: Sức khỏe giới tính

... Pain and its effects in the human neonate and fetus N Engl J Med 317(21), 1321–1329 Anand, K J and Carr, D B (1989) The neuroanatomy, neurophysiology, and neurochemistry of pain, stress, and analgesia ... Anand, K J., Sippell, W G., and Aynsley-Green, A (1987) Randomised trial of fentanyl anaesthesia in preterm babies undergoing surgery: effects on the stress Lancet 1(8524), 62–66 Anand, K J and ... in the newborn and in head trauma, cardiac, and hemodynamically unstable patients Continuous infusions of fentanyl are often used to provide analgesia and sedation in intubated and mechanically...

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Sedation and Analgesia for Diagnostic and Therapeutic Procedures – Part 7 pot

Danh mục: Sức khỏe giới tính

... tactile stimulation Moderate Sedation/ Analgesia (“Conscious Sedation ) Table Continuum of Depth of Sedation Definition of General Anesthesia and Levels of Sedation /Analgesia May be impaired Frequently ... standard cardiopulmonary equipment, efficacy is more difficult to standardize The desired “level” of sedation and analgesia depends on the psychological and physiological state of the patient and ... heart rate and pulse, electrocardiography monitoring in patients with cardiac disease agents As noted in Table 2, the difference between moderate sedation analgesia and deep sedation analgesia...

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Sedation and Analgesia for Diagnostic and Therapeutic Procedures – Part 8 potx

Danh mục: Sức khỏe giới tính

... intended is even more necessary Sedation and analgesia in the intubated patient over time in the ICU is a very different process than short-term sedation and analgesia or anesthesia of the same ... ideal monitor of sedation and analgesia will need to differentiate level of consciousness and pain It must be easily used across many patient types and during a variety of procedures, and be easily ... awareness during ICU sedation and anesthesia and for producing very tightly controlled levels of effective and uniform anesthesia Whether BIS and AEP are useful for targeting sedation (implying...

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Sedation and Analgesia for Diagnostic and Therapeutic Procedures – Part 9 potx

Danh mục: Sức khỏe giới tính

... principles and concepts of Quality Assurance (QA) and Continuous Quality Improvement (CQI) to Sedation Analgesia practice SEDATION ANALGESIA AND THE JCAHO Traditionally, the operating room was the standard ... Wong, J H., and Tait, A R (2000) Sedation and general anaesthesia in children undergoing MRI and CT: adverse events and outcomes Br J Anaesth 84(6), 743–748 19 Lazear, S E (1999) Conscious Sedation ... MO, p 1301 QA and CQI in Sedation Analgesia 275 12 Quality Assurance and Continuous Quality Improvement in Sedation Analgesia J Elizabeth Othman, MS, RN INTRODUCTION Technological and pharmacological...

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Sedation and Analgesia for Diagnostic and Therapeutic Procedures – Part 10 pps

Danh mục: Sức khỏe giới tính

... measurements and processes • Comprehensive reference that covers the entire practice of sedation and analgesia • Up-to-date review of the scientific basis of sedation and analgesia Contents Opioids, Sedation, ... new and established clinicians, and medical personnel generally, ensure patient safety when administering sedation and analgesia Features • Discussion of current regulatory guidelines and mandates ... administration of sedation and analgesia for diagnostic and therapeutic procedures has evolved into a medical specialty that requires specific credentials for its practice In Sedation and Analgesia for...

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Báo cáo y học: "Randomized trial comparing daily interruption of sedation and nursing-implemented sedation algorithm in medical intensive care unit patients"

Danh mục: Y học thưởng thức

... sedation, and treat pain with opioids (Figure 1) It included daily attempts to decrease sedation dosages The Richmond Agitation -Sedation Scale (RASS) was used to measure sedation level, and sedation ... overand sedationgroup of patients treated by daily interruption of sedation and sedation algorithm The individual scores are represented for each group (é for daily interruption of sedation and ... (DIS and SA 6), tracheostomy (DIS and SA 0), and study withdrawal (DIS and SA 1) Patients randomly assigned to DIS were more likely to withdraw from the study (P = 0.03) Five patients (4 DIS and...

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Báo cáo y học: " The use of partial exchange blood transfusion and anaesthesia in the management of sickle cell disease in a perioperative setting: two case reports" pot

Danh mục: Báo cáo khoa học

... Khakoo Y, Kinney TR: Surgery and anaesthesia in sickle cell disease Blood 1995, 86:3576-3584 Salvatore RG, Haberkern C, Crawford M: Sickle Cell and Anaesthesia: not abandon well-established practices ... opioids When anaesthesia is no longer needed, optimal fluid balance, analgesia, normothermia and sufficient spontaneous breathing activity are essential preconditions both for extubation and to prevent ... fluid resuscitation and normothermia, and keep in mind the level of organ impairment The use of regional anaesthesia should be considered for postoperative pain management, and preoperative transfusions...

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Báo cáo y học: "Sedation and renal impairment in critically ill patients: a post hoc analysis of a randomized trial" doc

Danh mục: Báo cáo khoa học

... frame and a representative number of patients (Table 2) Days No sedation (n=49) 95% CI no sedation Figure Daily fluid balance in ml/kg/day 10 Sedation (n=55) 95% CI sedation 15 Days No sedation ... contributions TS and PT conceived and designed the study and drafted the manuscript RRJ and JOP collected data All authors contributed to the review and revisions of the manuscript All authors read and approved ... EW: Efficacy and safety of a paired sedation and ventilator weaning protocol for mechanically ventilated patients in intensive care (Awakening and Breathing Controlled trial): a randomised controlled...

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EMERGENCY SEDATION AND PAIN MANAGEMENT - PART 1 pot

Danh mục: Sức khỏe giới tính

... EMERGENCY PROCEDURAL SEDATION AND ANALGESIA 37 Sedation and Analgesia for the Prehospital Emergency Medical Services Patient Michael Dailey and David French 38 260 Sedation and Analgesia for the ... Procedural Sedation and Analgesia Tania D Strout and Dawn B Kendrick 25 Federal and Hospital Regulatory Oversight in Emergency Department Procedural Sedation and Analgesia Sharon Roy 18 Provider Bias and ... Selection for Emergency Department Procedural Sedation and Analgesia Knox H Todd 11 Pain and Analgesia in the Infant Michelle P Tomassi 5 Analgesic and Procedural Sedation Principles Unique to the Pediatric...

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EMERGENCY SEDATION AND PAIN MANAGEMENT - PART 2 ppt

Danh mục: Sức khỏe giới tính

... status Federal and Hospital Regulatory Oversight Standard # 33 Standard Statement Standard Elements Individuals administering moderate or deep sedation and anesthesia are qualified and credentialed ... Force on Sedation and Analgesia by Nonanesthesiologists Anesthesiology 2002;96:1004–1017 7 Nursing Considerations in Emergency Department Procedural Sedation and Analgesia Tania D Strout and Dawn ... the sedation and analgesia team, typically responsible for patient assessment and monitoring during all phases of the sedation intervention Qualiﬁed registered nurses may administer sedation and...

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EMERGENCY SEDATION AND PAIN MANAGEMENT - PART 3 doc

Danh mục: Sức khỏe giới tính

... opioid receptors: mu, kappa, and delta Mu receptors mediate euphoria, sedation, respiratory depression, and nausea Kappa receptors cause spinal 50 analgesia and central sedation; they also produce ... mg tablets and in a mg/ ml solution It also comes in 15 and 30 mg tablets and a concentrate of 20 mg/ml The controlled release forms come in 10, 20, 40, and 80 mg tablets more nausea and constipation ... level, emotional and cognitive state, culture, the hospital environment, family issues and attitudes, language barriers, and levels of fear and anxiety The often chaotic, loud, and hurried emergency...

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EMERGENCY SEDATION AND PAIN MANAGEMENT - PART 4 pps

Danh mục: Sức khỏe giới tính

... Regional and/ or systemic anesthesia /sedation /analgesia Assessment, stabilization Systemic analgesia: Figure 12.2 Figure 12-1 Trauma patient initial evaluation and sedation /analgesia algorithm Analgesia ... underutilization of analgesia to acutely injured patients is inhumane and renders patient care difﬁcult owing to patient resistance and distress Poorly managed analgesia and sedation may also be ... ongoing ventilator sedation and analgesia begin to merge Though intubated, the provider must always consider the adequacy of ventilation and the ultimate goal of extubation PAIN AND SEDATION MANAGEMENT...

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