Sedation and Analgesia for Diagnostic and Therapeutic Procedures

Description

The administration of sedation and analgesia for diagnostic and therapeutic procedures has evolved into a medical specialty that requires specific credentials for its practice. In Sedation and Analgesia for Diagnostic and Therapeutic Procedures, physicians, nurses, and safety experts comprehensively review sedation and analgesia to provide a completely new reference guide to safe sedation practices, one 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. To enable clinicians to develop institutional guidelines for their own practice settings, they also review current mandates for safe sedation practices established by such regulatory agencies as the Joint Commission on Accreditation of Healthcare Organizations. Additional chapters 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. Up-to-date and highly practical, Sedation and Analgesia for Diagnostic and Therapeutic Procedures provides a sound scientific understanding, as well as an authoritative reference guide, that will help new and established clinicians, and medical personnel generally, ensure patient safety when administering sedation and analgesia. Front Matter....Pages i-xii Opioids, Sedation, and Sleep....Pages 1-31 Practice Guidelines for Pediatric Sedation....Pages 33-52 Practice Guidelines for Adult Sedation and Analgesia....Pages 53-75 Procedure and Site-Specific Considerations for Pediatric Sedation....Pages 77-103 Adult Sedation by Site and Procedure....Pages 105-123 Pharmacology of Sedative Agents....Pages 125-152 Opioids in the Management of Acute Pediatric Pain....Pages 153-190 Patient Monitoring During Sedation....Pages 191-218 Assessment of Sedation Depth....Pages 219-241 Nursing Perspectives on the Care of Sedated Patients....Pages 243-261 Recovery and Transport of Sedated Patients....Pages 263-274 Quality Assurance and Continuous Quality Improvement in Sedation Analgesia....Pages 275-295 Back Matter....Pages 297-310