Fasting and Emergency Department Procedural Sedation and Analgesia: A Consensus-Based Clinical Practice Advisory

Emergency physicians frequently administer procedural sedation and analgesia to nonfasted patients; however, they currently have no specific guidelines to aid them in preprocedural risk stratification. We assembled a committee of leading emergency physician sedation researchers to develop a consensu...

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Bibliographic Details
Published in:Annals of emergency medicine 2007-04, Vol.49 (4), p.454-461
Main Authors: Green, Steven M., MD, Roback, Mark G., MD, Miner, James R., MD, Burton, John H., MD, Krauss, Baruch, MD, EdM
Format: Article
Language:English
Subjects:
Analgesia
Anesthesia
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Biological and medical sciences
Clinical Protocols
Conscious Sedation
Contraindications
Emergency
Emergency and intensive care: techniques, logistics
Emergency Service, Hospital
Fasting
Humans
Intensive care medicine
Intensive care unit. Emergency transport systems. Emergency, hospital ward
Local anesthesia. Pain (treatment)
Medical sciences
Respiratory Aspiration - prevention & control
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Description
Summary:Emergency physicians frequently administer procedural sedation and analgesia to nonfasted patients; however, they currently have no specific guidelines to aid them in preprocedural risk stratification. We assembled a committee of leading emergency physician sedation researchers to develop a consensus-based clinical practice advisory for this purpose. Our goal was to create a tool to permit emergency physicians to identify prudent limits of sedation depth and timing in light of fasting status and individual patient risk factors. The advisory is not intended to assert a legal standard of practice or absolute requirement. It is expected that emergency physicians will at times appropriately deviate from it according to individualized judgment and unique clinical circumstances.
ISSN:0196-0644
1097-6760
DOI:10.1016/j.annemergmed.2006.08.017