Conscious Sedation Analgesia

"This easy-to-follow book is your complete clinical guide to caring for patients receiving conscious sedation/analgesia during a short-term therapeutic, diagnostic, or surgical procedure. It covers everything you need to know - from practice guidelines for administering sedation, to pre-sedation requirements, intra-procedure monitoring and documentation, and discharge criteria."--BOOK JACKET.

This 2nd edition focuses on the preprocedural, procedural, and postprocedural care of the moderately sedated patient. It is designed for any clinician involved in the administration of moderate sedation and written by a clinician involved in the practice on a daily basis. The primary focus of this new edition is to provide all the content and tools necessary to demonstrate competency in moderate sedation/analgesia. Includes a greater focus on the core competencies necessary for clinical practice. Concept Checks are integrated throughout to help the learner assess the mastering of the content presented. Includes the recommended standards of practice from the ANA, AORN, American Academy of Pediatrics, and JCAHO's Sample Policies & Procedures. Contains sample clinical competencies for moderate sedation so the book can be used as a study guide and measurement tool. Incorporates throughout important information on the specific moderate sedation parameters of the pediatric and geriatric patients addressing preprocedural assessment, physiologic variations, pharmacologic considerations and sedative techniques. Includes a comprehensive pharmacologic profile of each medication used in the moderate sedation practice setting. Follows a recommended 'core curriculum' format, but each idea and concept are discussed in detail. Increased integration of actual Clinical Scenarios facilitates the application of content knowledge and utilization of critical thinking skills. Integration of herbal preparations and their impact on pre-sedation care. Latest JCAHO Sedation/Anesthesia Guidelines (2004) incorporated throughout. A larger trim size (8.5 x 11) provides more of a 'manual' feel and allows the reader to make notes and work through various tools throughout the book.

This book provides all the key information for developing a thorough understanding of the concepts of IV conscious sedation. Fully detailedsections include basic concepts of medications, administration techniques, potential complications and emergencies, monitoring parameters, developing a credentialing program, legal implications, and patient discharge. The text is designed with practical implementations to the clinical setting, including useful information such as sample documentation forms, learner feedback and question and answer sections. * Traces the evolution of conscious sedation from the realm of the anesthetist to non-anesthesia providers. * Provides an overview of the objectives of conscious sedation, levels of sedation and patient selection. * Profiles commonly used conscious sedation drugs, outlining pharmacokinetics, dosage and administration, contraindications and precautions, adverse reactions and nursing implications. * Includes thorough preprocedure, intraprocedure, and postprocedure patient assessment with complete discharge and patient teaching information. * Profiles high risk patients and addresses management of neurologic, pulmonary, and cardiovascular complications. * Addresses competency issues and provides guidelines on setting institutional policies and standards on conscious sedation, including many sample forms from a variety of health care settings. * Includes a separate chapter on pediatric sedation covering patient selection, medication dosage and adminstration, and physical and psychological responses specific to that population.

Introducing the definitive resource designed for practitioners working in the rapidly expanding area of moderate procedural sedation and analgesia clinical practice. Moderate Procedural Sedation and Analgesia: A Question and Answer Approach focuses on the preprocedural, procedural, and postprocedural care of the moderately sedated patient in a variety of settings. This comprehensive text is designed to provide all the content and tools nurses and other clinicians need to demonstrate competency in moderate sedation and analgesia. Additionally, this user-friendly text is written by well-known sedation/analgesia expert, Michael Kost and recommended by standards of practice from the ANA, AORN, and the American Academy of Pediatrics. New clinically focused text ensures clinicians involved in the administration and management of patients receiving moderate sedation have access to the most up-to-date information. Strong safety focus throughout the book explains how technology and clinician practice can improve sedation administration. Chapters organized in clinical problem/question plus answer format help you easily comprehend material. Follows the latest TJC Sedation/Anesthesia Guidelines ensuring you are ready for medication administration in clinical practice. Pediatrics and Geriatrics chapters cover specific sedation practice recommendations that address the substantive clinical practice challenges associated with these patient populations. Pharmacologic profiles of medications detail their use in the moderate sedation practice setting.

A concise, practical handbook giving up-to-date, evidence based, 'how to' guidance on safe, effective procedural sedation.

Practical review of major medical issues including pharmacology and classification of agents and their antidotes, general guidelines, requirements and equipment, special populations, special procedures, nursing issues, and medical-legal issues.

Fully-updated edition of this award-winning textbook, arranged by presenting complaints with full-color images throughout. For students, residents, and emergency physicians.

Pediatric sedation in the ambulatory setting by non-anesthesiologists is becoming more commonplace, and can be safely accomplished with the right information. This handbook reflects the combined insights of specialists in emergency medicine and anesthesiology, with practical guidelines that show readers the safest and most effective methods. Coverage begins with scientific foundations and continues through management strategies and finally through specific procedures.