Safe Sedation For All Practitioners

Sedation is a vital tool for allowing investigations and procedures to be performed without full anaesthesia, but demand for sedation greatly outstrips the supply of trained anaesthetists. Sedation requires care if it is to be used correctly and modern seditionists, including junior doctors in all specialities, medical students, anaesthetists, dentists, and theatre, dental and paediatric nurses, must be able to demonstrate they can practice safely. They need a sound understanding of the basic sciences involved, and an intimate knowledge of the required standards of practice. This book is a first-line educational resource for all those training in the techniques of sedation, and for those already practising who wish to consolidate their knowledge in a structured way.This highly practical handbook is therefore ideal for experienced and novice practitioners alike. It covers basic principles including patient selection and assessment, pharmacology, resuscitation competencies, monitoring equipment and legal issues, and the numerous clinical scenarios bring pertinent issues to life, emphasising the importance of safe practice. It is a unique universal introduction for practitioners from any clinical background.

This practical handbook is ideal for experienced and novice practitioners alike. It covers basic principles including patient selection and assessment, pharmacology, resuscitation competencies and monitoring equipment, and the numerous clinical scenarios bring pertinent issues to life, emphasising the importance of safe practice.

In retrospect, the dosage of IV sedatives used in the early days of endoscopy both in the USA and Great Britain was frequently too high. Today we are much more careful in the way we sedate patients being acutely aware of the fact that if the patient becomes unresponsive and verbal contact is lost then, by definition, a general anaesthetic has just been administered with all the clinical and legal implications that this holds. This expertly written book examines all aspects of conscious sedation and will be an essential reference for nurses and other health professionals involved in the clinical care of patients undergoing diagnostic or therapeutic procedures that require conscious sedation. Each chapter covers a particular area of the practice of conscious sedation and the authors come from a wide spectrum of clinical specialities.

Control of anxiety and pain is fundamental to the practice of dentistry. This book provides the necessary knowledge, guidance and encouragement for the safe and effective use of conscious sedation. Basis sedation techniques (intravenous midazolam and inhaled nitrous oxide and oxygen) are described in detail; alternative techniques which may be appropriate in special circumstances are also outlined. Practical Conscious Sedation is a succinct, authoritative and easy-to-read text suitable for dental and medical practitioners, qualified dental nurses, undergraduate and postgraduate dental students.

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

This is the first book devoted to the oral sedation of children in the dental office in order to facilitate their dental care. Written by well-respected and recognized leaders, educators, clinicians and researchers in the field of sedation, it reflects the latest evidenced-based practice and clinical expertise, provides guidance and offers an abundance of consistent and helpful tips. The book is structured to cover the various key elements that must be considered when attempting to provide safe sedation for children undergoing dental procedures. Topics addressed include, among others, patient assessment, drug selection, protocol steps, emergency management, and the most up-to-date guidelines. The contents of each chapter are focused to match the specific concerns associated with the pediatric patient.

Physicians, nurses, and safety experts comprehensively review sedation and analgesia to provide a completely new reference guide to safe sedation practices consistent with existing guidelines. Starting with an integrated review of the basic physiology and neurobiology of the sedated state, the authors proceed through clinical guidelines and practices, and conclude with an examination of quality-outcome measures and processes. They also review current mandates for safe sedation practices and address the key clinical issues of pharmacology, monitoring, and recovery. Special tables and figures throughout the book summarize protocols, regulatory requirements, recommended dosages, monitoring requirements, and quality assurance tools.

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.