Review article: moderate sedation
for endoscopy: sedation regimens for non-anaesthesiologists.
refers to the use of moderate sedation
and analgesia, and deep sedation and analgesia, in order to facilitate diagnostic or therapeutic procedures
For moderate sedation
, we use chloral hydrate (Pharmaceutical Associates Inc.
The primary hurdle for brain function monitoring in a light to moderate sedation
procedure has been electromyographical (EMG) interference from the frontalis muscle immediately beneath the array electrodes.
Role of the Nurse in the Administration and Monitoring of Moderate Sedation
If the dentist is to provide moderate sedation
, however, which means a level of sedation which renders loss of consciousness unlikely, the dentist must obtain a permit.
Richmond Agitation Sedation Scale (RASS) Target RASS RASS description +4 Combative, violent, danger to staff +3 Pulls or removes tube(s) or catheters, aggressive +2 Frequent non-purposeful movement, fights ventilator +1 Anxious, apprehensive, but not aggressive 0 Alert and calm -1 Awakens to voice (eye opening/contact) >10 s -2 Light sedation, briefly awakens to voice (eye opening/contact) <10 s -3 Moderate sedation
, movement or eye opening, no eye contact -4 Deep sedation, no response to voice, but movement or eye opening to physical stimulation -5 Not arousable, no response to voice or physical stimulation
Recent studies suggest that low doses of conventional anesthetic drugs such as fentanyl and midazolam (Versed) can reduce the total dose of propofol to one that will induce only moderate sedation
Maria Teresa Quiej Alvarez, who underwent more than three hours of surgery Friday, was breathing with the help of a ventilator and remained under moderate sedation
, a UCLA's Mattel Children's Hospital spokesman said.
Aetna has always covered moderate sedation
, which is delivered by the treating physician, and is the type of sedation used for the majority of colonoscopies across the country.
530 permits a registered nurse to administer moderate sedation
to patients treated in ambulatory surgical treatment centers if supervised by a physician who is licensed to practice medicine in all its branches, a podiatrist, or a dentist.
AAI greater than 60 indicated fully awake or minimal sedation and values between 60 to 41 were suggestive of moderate sedation
5 mg/kg would be safe and effective in providing moderate sedation
in patients undergoing colonoscopy, compared to a control dose of 2.
Additionally, Union Hospital is also using capnography during moderate sedation
Aquavan Injection is a proprietary water-soluble prodrug of propofol that is in clinical development for moderate sedation
of patients undergoing therapeutic and diagnostic procedures.