Universität zu Köln

Hinkelbein, Jochen, Schmitz, Jan, Lamperti, Massimo and Fuchs-Buder, Thomas (2020). Procedural sedation outside the operating room. Curr. Opin. Anesthesiol., 33 (4). S. 533 - 539. PHILADELPHIA: LIPPINCOTT WILLIAMS & WILKINS. ISSN 1473-6500

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Abstract

Purpose of review The present review provides an overview of the different fields of procedural sedation and analgesia (PSA), describing the evidence from recently published studies concerning anxiety and moderate pain, cardiac interventions, gastrointestinal interventions, and PSA use in infants. It also provides guidance for practitioners of both unscheduled and scheduled procedural sedation, and a summary of the current guideline for PSA. Recent findings Safety always has to be first priority. Recently published literature is focusing on the combination of different well established drugs such as dexmedetomidine, remifentanil, propofol, and ketamine. These traditional and well known drugs are commonly used for PSA. The combinational use of multiple drugs seems to have benefits for both the provider and patient. Furthermore, there is growing interest into specific protocols and adaption for special circumstances. The preferred medications used for PSA should be both effective and well tolerated. Procedural sedation deserves to have high degree of attention for potential adverse events. New combinations of well established drugs provide a better pharmacokinetic profile, fit to different indications and offer multiple benefits for both provider and patient.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Hinkelbein, Jochen UNSPECIFIED UNSPECIFIED UNSPECIFIED Schmitz, Jan UNSPECIFIED UNSPECIFIED UNSPECIFIED Lamperti, Massimo UNSPECIFIED UNSPECIFIED UNSPECIFIED Fuchs-Buder, Thomas UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-325281
DOI:	10.1097/ACO.0000000000000885
Journal or Publication Title:	Curr. Opin. Anesthesiol.
Volume:	33
Number:	4
Page Range:	S. 533 - 539
Date:	2020
Publisher:	LIPPINCOTT WILLIAMS & WILKINS
Place of Publication:	PHILADELPHIA
ISSN:	1473-6500
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language EMERGENCY-DEPARTMENT; EUROPEAN-SOCIETY; TRAUMA PATIENTS; ACUTE PAIN; PROPOFOL; MANAGEMENT; ANALGESIA; COLONOSCOPY; ANESTHESIA; KETAMINE Multiple languages Anesthesiology Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/32528