Moderate and Deep Sedation in Clinical Practice

Millions of procedures requiring sedation are performed each year, covering a large array of medical specialties in both inpatient and outpatient settings. This tremendous growth has led to sedation being administered by a wide range of healthcare providers, including non-anesthesiologist physicians, nurses and nurse practitioners. Moderate and Deep Sedation in Clinical Practice is a concise, practical handbook for all medical and surgical professionals who sedate patients. This up-to-date, evidence-based 'how-to' manual instructs these professionals on how to evaluate patients, updates relevant pharmacology, and guides them on legal and quality assurance issues. It contains advice on sedation for specific populations, such as elderly, pediatric, ICU, emergency room, endoscopy, and reproductive technologies. Written and edited by experts in procedural sedation and sedation education, this book will help users develop safer techniques, policies, and procedures. It is essential reading for any healthcare provider administering moderate or deep sedation.

    An updated, practical clinical manual for anyone involved in sedation; also relevant for any facility establishing a new procedural sedation program and educating practitioners
    Contains contributions from a wide range of medical professionals to convey the latest developments, and highlights current best practices in the field
    Includes all the latest guidelines, regulations, drugs, and techniques in an accessible format for the busy healthcare practitioner

Table of Contents

List of contributors
Foreword Lisa Morrissey
Preface to the second edition
Preface to the first edition
Guidelines and standards Richard D. Urman, Elyse M. Cornett, Charles J. Fox and Alan David Kaye
1. Introduction to moderate and deep sedation Renata M. Miketic, Bommy Hong, Eugenie S. Heitmiller and Emmett E. Whitaker
2. Pharmacology principles in sedation Alan David Kaye, Julie A. Gayle, Aaron J. Kaye and Adam M. Kaye
3. Pain assessment and management considerations Renata M. Miketic, Bommy Hong, Eugenie S. Heitmiller and Emmett E. Whitaker
4. Patient evaluation and procedure selection Debra E. Morrison and Kristi Dorn Hare
5. Patient monitoring, equipment, and intravenous fluids Shilpadevi Patil, Sridhar Tirumala, Harish Siddaiah, Michael Franklin, Wesley Day, Matthew Gray, Elyse Cornett and Charles J. Fox
6. Credentialing, competency, and education Ellen K. Bergeron and Jennifer Kales
7. Quality, legal, and risk management considerations: ensuring program excellence Mary T. Antonelli and David E. Seaver
8. Nursing considerations for sedation Jennifer Kales and Louise Caperelli-White
9. Physician assistants and nurse practitioners Allie Shea, Jennifer Kales and Heather Trafton
10. High-risk patients: sedation considerations in coexisting disease Charles J. Fox, Henry Liu, Elyse M. Cornett and Alan David Kaye
11. Respiratory compromise in moderate and deep sedation Rhodri Saunders, Sam Ajizian and Michael Mestek
12. Management of complications of moderate and deep sedation Henry Liu, Charles J. Fox, Elyse M. Cornett and Alan David Kaye
13. Recovery and discharge after procedural sedation Henry Liu, Camellia Asgarian, Marcus Zebrower, Mary Im and Alan David Kaye
14. Outcomes, controversies, and future trends Julia Metzner and Karen B. Domino
15. Simulation training for sedation Valeriy Kozmenko and Lyubov Kozmenko
16. Sedation in the radiology suite Brenda Schmitz
17. Sedation in the endoscopy suite Arjun Reddy and Kai Matthes
18. Sedation in the interventional cardiology suite Pushpa Koyyalamudi, Sudipta Sen, Katherine Stammen, Gurleen Sidhu, Elyse M. Cornett and Charles J. Fox
19. Sedation in the emergency department Heikki E. Nikkanen
20. Sedation in the intensive care setting John P. Gaillard
21. Pediatric sedation: practical considerations Corey E. Collins
22. Pediatric sedation: safety and outcomes Lisa Lee and Joel Stockman
23. Sedation in the office and other outpatient settings Debra E. Morrison and Kristi Dorn Hare
24. Sedation in dentistry Jennifer E. Woerner, G. E. Ghali, Charles J. Fox, Alan David Kaye, Elyse M. Cornett and Melissa Wibowo
25. Sedation for assisted reproductive technologies Vesela Kovacheva and Patricia M. Sequeira
26. Interventional pain management procedures Alan David Kaye and Laxmaiah Manchikanti
27. Emergency resuscitation algorithms: adults Jue Teresa Wang
28. Emergency resuscitation algorithms: infants and children Jue Teresa Wang
Index

    Richard D. Urman, M.D., M.B.A., C.P.E. is Chief of Anesthesia Services and Medical Director of Sedation for Interventional Medicine at the Brigham and Women's Hospital Care Center in Boston and Associate Professor of Anesthesia at Harvard Medical School. He also serves as the Director (Anesthesia) of the interdepartmental Center for Perioperative Research at BWH and directs the newly established Perioperative Medicine Fellowship. He has an adjunct faculty appointment as Professor (Research) at Louisiana State University, New Orleans and is the Co-Founder of the Institute for Safety in Office-Based Surgery.

    Alan David Kaye, M.D., Ph.D., DABA, DABIPP, DABPM is the Tenured Professor, Program Director, and Chairman of the Department of Anesthesiology at Louisiana State University Health Sciences Center in New Orleans. He serves on a number of national committees including the FDA Advisory Board for Anesthetics and Analgesics. He is the editor-in-chief of the journal Pain Physician, an elected Board of Director for the American Society of Interventional Pain Physicians, and serves on the American Board of Interventional Pain Physicians. He was previously an Associate National Board Examiner in Anesthesiology.

    Contributors

    Lisa Morrissey, Richard D. Urman, Elyse M. Cornett, Charles J. Fox, Alan David Kaye, Renata M. Miketic, Bommy Hong, Eugenie S. Heitmiller, Emmett E. Whitaker, Julie A. Gayle, Aaron J. Kaye, Adam M. Kaye, Debra E. Morrison, Kristi Dorn Hare, Shilpadevi Patil, Sridhar Tirumala, Harish Siddaiah, Michael Franklin, Wesley Day, Matthew Gray, Ellen K. Bergeron, Jennifer Kales, Mary T. Antonelli, David E. Seaver, Louise Caperelli-White, Allie Shea, Heather Trafton, Henry Liu, Elyse M. Cornett, Rhodri Saunders, Sam Ajizian, Michael Mestek, Camellia Asgarian, Marcus Zebrower, Mary Im, Julia Metzner, Karen B. Domino, Valeriy Kozmenko, Lyubov Kozmenko, Brenda Schmitz, Arjun Reddy, Kai Matthes, Pushpa Koyyalamudi, Sudipta Sen, Katherine Stammen, Gurleen Sidhu, Heikki E. Nikkanen, John P. Gaillard, Corey E. Collins, Lisa Lee, Joel Stockman, Jennifer E. Woerner, G. E. Ghali, Melissa Wibowo, Vesela Kovacheva, Patricia M. Sequeira, Laxmaiah Manchikanti, Jue Teresa Wang