Developments in procedural sedation for adults
Average read time: 35-45 minutes
Short Summary of the Article:
The article provides a comprehensive review of developments in procedural sedation for adults. Key areas include the adoption of capnography as a standard monitoring tool, the use of short-acting agents like remimazolam and oliceridine, and the potential benefits and drawbacks of sedation agents such as dexmedetomidine and propofol. The article emphasizes the need for appropriate training for non-anaesthetists administering sedation and reviews recent drugs, including remifentanil and methoxyflurane, for sedation in various medical procedures. The inclusion of capnography in monitoring systems is shown to improve patient safety by preventing hypoxaemia during sedation.
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Earned Point(s): 0 of 0, (0) What is now considered a core monitoring technique for sedation? 258 True or False: Dexmedetomidine has clear advantages over other sedation agents. 258 What is a common side effect of propofol sedation particularly in older patients? 258 Which of the following is recommended for non-anaesthetists performing sedation? 258 Which of the following is NOT a feature of procedural sedation? 259 True or False: Oliceridine is an opioid analgesic with fewer side effects compared to morphine. 260 Which benzodiazepine is preferred for sedation due to its rapid onset and recovery time? 260 What is the primary use of capnography during sedation? 261 What is one benefit of using remimazolam compared to midazolam for sedation? 260 True or False: The use of capnography in procedural sedation has been evaluated in randomized controlled trials (RCTs). 261 What is the recommended maximum single dose of methoxyflurane for sedation? 260 What is the main reason dexmedetomidine is not widely used for sedation? 261 What is the role of bispectral index (BIS) monitoring in procedural sedation? 261 Which sedation agent is considered the drug of choice for anaesthetist-delivered procedural sedation? 262 What monitoring tool is emphasized in the article as supporting a safety culture during procedural sedation? 261
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