Clinical policy: Procedural sedation and analgesia in the emergency department

Annals of Emergency Medicine

Volumn 45, Issue 2, 2005, Pages 177-196

  Godwin, Steven A ^a   Caro, David A ^a   Wolf, Stephen J ^a   Jagoda, Andy S ^a   Charles, Ronald ^a   Marett, Benjamin E ^a   Moore, Jessie ^a  

^a NONE

Author keywords

[No Author keywords available]

Indexed keywords

ANALGESIC AGENT; BENZODIAZEPINE; DIAZEPAM; ETOMIDATE; FENTANYL; KETAMINE; METHOHEXITAL; MIDAZOLAM; OPIATE; PROPOFOL; SEDATIVE AGENT;

AIRWAY OBSTRUCTION; ANALGESIA; APNEA; BISPECTRAL INDEX; CAPNOGRAPHY; CARDIOPULMONARY ARREST; CLINICAL TRIAL; DIET RESTRICTION; DRUG HYPERSENSITIVITY; DRUG MEGADOSE; DRUG SAFETY; EMERGENCY WARD; EXTUBATION; GENERAL ANESTHESIA; HEALTH CARE PERSONNEL; HEALTH CARE POLICY; HEART ARRHYTHMIA; HEMODYNAMIC MONITORING; HUMAN; HYPOTENSION; HYPOXEMIA; HYPOXIA; INJECTION PAIN; INTUBATION; LARYNX SPASM; META ANALYSIS; MYOCLONUS; NAUSEA; PATIENT MONITORING; PRACTICE GUIDELINE; PRIORITY JOURNAL; PULSE OXIMETRY; RESPIRATION DEPRESSION; RESPIRATORY ARREST; REVIEW; RISK ASSESSMENT; SEDATION; TREATMENT OUTCOME; TREMOR; VOMITING;

ANALGESIA; ANESTHESIA; ANESTHETICS, DISSOCIATIVE; CONSCIOUS SEDATION; EMERGENCY MEDICINE; EMERGENCY SERVICE, HOSPITAL; HEALTH PERSONNEL; HUMANS; HYPNOTICS AND SEDATIVES;

EID: 12444279983     PISSN: 01960644     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.annemergmed.2004.11.002     Document Type: Review

References (72)

1. Core Content Task Force The model of the clinical practice of emergency medicine Ann Emerg Med 37 2001 745 770
2. Task Force on the Core Content for Emergency Medicine Revision Core content for emergency medicine Ann Emerg Med 29 1997 792 811
3. American College of Emergency Physicians Clinical policy for procedural sedation and analgesia in the emergency department Ann Emerg Med 31 1998 663 677
4. T.E. Terndrup, R.M. Cantor, and C.M. Madden Intramuscular meperidine, promethazine, and chlorpromazine: analysis of use and complications in 487 pediatric emergency department patients Ann Emerg Med 18 1989 528 533
5. C.R. Chudnofsky, S.W. Wright, and S.C. Dronen The safety of fentanyl use in the emergency department Ann Emerg Med 18 1989 635 639
6. C.R. Chudnofsky, J.E. Weber, and P.J. Stoyanoff A combination of midazolam and ketamine for procedural sedation and analgesia in adult emergency department patients Acad Emerg Med 7 2000 228 235
7. J.E. Wathen, M.G. Roback, and T. Mackenzie Does midazolam alter the clinical effects of intravenous ketamine sedation in children? A double-blind, randomized, controlled, emergency department trial Ann Emerg Med 36 2000 579 588
8. R.J. Dachs, and G.M. Innes Intravenous ketamine sedation of pediatric patients in the emergency department Ann Emerg Med 29 1997 146 150
9. W.G. Barsan, A.J. Tomassoni, and D. Seger Safety assessment of high-dose narcotic analgesia for emergency department procedures Ann Emerg Med 22 1993 1444 1449
10. D.R. Vinson, and D.R. Bradbury Etomidate for procedural sedation in emergency medicine Ann Emerg Med 39 2002 592 598
11. R. Dickinson, A.J. Singer, and W. Carrion Etomidate for pediatric sedation prior to fracture reduction Acad Emerg Med 8 2001 74 77
12. W.J. Ruth, J.H. Burton, and A.J. Bock Intravenous etomidate for procedural sedation in emergency department patients Acad Emerg Med 8 2001 13 18
13. S.M. Keim, B.L. Erstad, and J.C. Sakles Etomidate for procedural sedation in the emergency department Pharmacotherapy 22 2002 586 592
14. E.R. Swanson, D.C. Seaberg, and S. Mathias The use of propofol for sedation in the emergency department Acad Emerg Med 3 1996 234 238
15. C.J. Havel Jr., R.T. Strait, and H. Hennes A clinical trial of propofol vs. midazolam for procedural sedation in a pediatric emergency department Acad Emerg Med 6 1999 989 997
16. E.G. Skokan, C. Pribble, and K.E. Bassett Use of propofol sedation in a pediatric emergency department: a prospective study Clin Pediatr (Phila) 40 2001 663 671
17. J.H. Burton, A.J. Bock, and T.D. Strout Etomidate and midazolam for reduction of anterior shoulder dislocation: a randomized, controlled trial Ann Emerg Med 40 2002 496 504
18. E. Guenther, C.G. Pribble, and E.P. Junkins Jr. Propofol sedation by emergency physicians for elective pediatric outpatient procedures Ann Emerg Med 42 2003 783 791
19. K.E. Bassett, J.L. Anderson, and C.G. Pribble Propofol for procedural sedation in children in the emergency department Ann Emerg Med 42 2003 773 782
20. J.R. Miner, M. Biros, and S. Krieg Randomized clinical trial of propofol versus methohexital for procedural sedation during fracture and dislocation reduction in the emergency department Acad Emerg Med 10 2003 931 937
21. J.R. Miner, M.H. Biros, and W. Heegaard Bispectral electroencephalographic analysis of patients undergoing procedural sedation in the emergency department Acad Emerg Med 10 2003 638 643
22. J.E. Wilson, and J.M. Pendleton Oligoanalgesia in the emergency department Am J Emerg Med 7 1989 620 623
23. J.C. Brown, E.J. Klein, and C.W. Lewis Emergency department analgesia for fracture pain Ann Emerg Med 42 2003 197 205
24. Joint Commission on Accreditation of Healthcare Organizations Comprehensive Accreditation Manual for Hospitals, The Official Handbook 2004 JCAHO Publication Chicago, IL
25. B. Krauss, and S.M. Green Sedation and analgesia for procedures in children N Engl J Med 342 2000 938 945
26. American Society of Anesthesiologists Task Force on Sedation and Analgesia by Non-Anesthesiologists Practice guidelines for sedation and analgesia by non-anesthesiologists Anesthesiology 96 2002 1004 1017
27. P. Blackburn, and R. Vissers Pharmacology of emergency department pain management and conscious sedation Emerg Med Clin North Am 18 2000 803 827
28. J. Glauser, and B. Cullison Procedural sedation: general principles and specific pharmacotherapeutic strategies-part 1 Emergency Medicine Reports 23 2002 247 260
29. S.M. Green, and B. Krauss The semantics of ketamine Ann Emerg Med 36 2000 480 482
30. D.L. Schriger, S.V. Cantrill, and C.S. Greene The origins, benefits, harms, and implication of emergency medicine clinical policies Ann Emerg Med 22 1993 597 602
31. S.E. Mace, I.A Barata, and J.P. Cravero EMSC Grant Panel Writing Committee on Pharmacologic Agents Used in Pediatric Sedation and Analgesia in the Emergency Department Clinical policy: evidence-based approach to pharmacologic agents used in pediatric sedation and analgesia in the emergency department Ann Emerg Med 44 2004 342 377
32. S.M. Green, and B. Krauss Pulmonary aspiration risk during emergency department procedural sedation: an examination of the role of fasting and sedation depth Acad Emerg Med 9 2002 35 42
33. A. Pacifico, F.R. Cedillo-Salazar, and N. Nasir Jr. Conscious sedation with combined hypnotic agents for implantation of cardioverter-defibrillators J Am Coll Cardiol 30 1997 769 773
34. B.M. Pena, and B. Krauss Adverse events of procedural sedation and analgesia in a pediatric emergency department Ann Emerg Med 34 1999 483 491
35. D. Agrawal, S.F. Manzi, and R. Gupta Preprocedural fasting state and adverse events in children undergoing procedural sedation and analgesia in a pediatric emergency department Ann Emerg Med 42 2003 636 646
36. L.R. Ferrari, F.M. Rooney, and M.A. Rockoff Preoperative fasting practices in pediatrics Anesthesiology 90 1999 978 980
37. N. Maekawa, K. Mikawa, and H. Yaku Effects of 2-, 4- and 12-hour fasting intervals on preoperative gastric fluid pH and volume, and plasma glucose and lipid homeostasis in children Acta Anaesthesiol Scand 37 1993 783 787
38. W.M. Splinter, J.D. Schaefer, and I.H. Zunder Clear fluids three hours before surgery do not affect the gastric fluid contents of children Can J Anaesth 37 1990 498 501
39. E. Soreide, T. Hausken, and J.A. Soreide Gastric emptying of a light hospital breakfast. A study using real time ultrasonography Acta Anaesthesiol Scand 40 1996 549 553
40. K.R. Ingebo, N.J. Rayhorn, and R.M. Hecht Sedation in children: adequacy of two-hour fasting J Pediatr 131 1997 155 158
41. American Society of Anesthesiologists Task Force on Preoperative Fasting Practice guidelines for preoperative fasting and the use of pharmacologic agents to reduce the risk of pulmonary aspiration: application to healthy patients undergoing elective procedures Anesthesiology 90 1999 896 905
42. S.M. Green Fasting is a consideration - not a necessity - for emergency department procedural sedation and analgesia Ann Emerg Med 42 2003 647 650
43. T. Engelhardt, and N.R. Webster Pulmonary aspiration of gastric contents in anesthesia Br J Anaesth 83 1999 453 460
44. S.M. Green, R. Nakamura, and N.E. Johnson Ketamine sedation for pediatric procedures: part 1, a prospective series Ann Emerg Med 19 1990 1024 1032
45. S.M. Green, S.G. Rothrock, and E.L. Lynch Intramuscular ketamine for pediatric sedation in the emergency department: safety profile in 1,022 cases Ann Emerg Med 31 1998 688 697
46. C.R. Chudnofsky Safety and efficacy of flumazenil in reversing conscious sedation in the emergency department. Emergency Medicine Conscious Sedation Study Group Acad Emerg Med 4 1997 944 950
47. M. Yaster, D.G. Nichols, and J.K. Deshpande Midazolam-fentanyl intravenous sedation in children: case report of respiratory arrest Pediatrics 86 1990 463 467
48. D.H. Newman, M.M. Azer, and R.D. Pitetti When is a patient safe for discharge after procedural sedation? The timing of adverse effect events in 1,367 pediatric procedural sedations Ann Emerg Med 42 2003 627 635
49. P.L. Bailey, N.L. Pace, and M.A. Ashburn Frequent hypoxemia and apnea after sedation with midazolam and fentanyl Anesthesiology 73 1990 826 830
50. A.P. Pohlgeers, L.R. Friedland, and L. Keegan-Jones Combination fentanyl and diazepam for pediatric conscious sedation Acad Emerg Med 2 1995 879 883
51. American Medical Association, and Council on Scientific Affairs The use of pulse oximetry during conscious sedation JAMA 270 1993 1463 1468
52. K. Aughey, D. Hess, and D. Eitel An evaluation of pulse oximetry in prehospital care Ann Emerg Med 20 1991 887 891
53. 2 and oxygen saturation in patients undergoing fentanyl and midazolam outpatient sedation Anesth Prog 44 1997 1 4
54. A.J. Block, P.G. Boysen, and J.W. Wynne Sleep apnea hypopnea and oxygen desaturation in normal subjects: a strong male predominance N Engl J Med 300 1979 513 517
55. J.J. Bilotta, J.L. Floyd, and J.D. Waye Arterial oxygen desaturation during ambulatory colonoscopy: predictability, incidence, and clinical insignificance Gastrointest Endosc 36 1990 S5 S8
56. J.B. Arrowsmith, B.B. Gerstman, and D.E. Fleischer Results from the American Society for Gastrointestinal Endoscopy/US Food and Drug Administration collaborative study on complication rates and drug use during gastrointestinal endoscopy Gastrointest Endosc 37 1991 421 427
57. F.J. Ceravolo, H.E. Meyers, and J.J. Michael Full dentition periodontal surgery using intravenous conscious-sedation. A report of 10,000 cases J Periodontal 57 1986 383 384
58. J.D. Tobias End-tidal carbon dioxide monitoring during sedation with a combination of midazolam and ketamine for children undergoing painful, invasive procedures Pediatr Emerg Care 15 1999 173 175
59. K.K. McQuillen, and D.W. Steele Capnometry during sedation/analgesia in the pediatric emergency department Pediatr Emerg Care 16 2000 401 404
60. J.R. Miner, W. Heegaard, and D. Plummer End-tidal carbon dioxide monitoring during procedural sedation Acad Emerg Med 9 2002 275 280
61. S.W. Wright Conscious sedation in the emergency department: the value of capnography and pulse oximetry Ann Emerg Med 21 1992 551 555
62. 2 monitoring when comparing three methods of conscious sedation for children undergoing painful procedures in the emergency department Pediatr Emerg Care 13 1997 189 193
63. C. Rosow, and P.J. Manberg Bispectral index monitoring Anesthesiol Cl in North America: Annual Anesth Pharm 2 1998 89 107
64. A.L. Bower, A. Ripepi, and J. Dilger Bispectral index monitoring of sedation during endoscopy Gastrointest Endosc 52 2000 192 196
65. M. Gill, S.M. Green, and B. Krauss A study of the Bispectral Index Monitor during procedural sedation and analgesia in the emergency department Ann Emerg Med 41 2003 234 241
66. D. Agrawal, H.A. Feldman, and B. Krauss Bispectral index monitoring quantifies depth of sedation during emergency department procedural sedation and analgesia in children Ann Emerg Med 43 2004 247 255
67. R.M. Kennedy, F.L. Porter, and J.P. Miller Comparison of fentanyl/midazolam with ketamine/midazolam for pediatric orthopedic emergencies Pediatrics 102 1998 956 963
68. G.D. Bell, R.F. McCloy, and J.E. Charlton Recommendations for standards of sedation and patient monitoring during gastrointestinal endoscopy Gut 32 1991 823 827
69. J.H. Helmers, A.A. Adam, and J. Giezen Pain and myoclonus during induction with etomidate. A double-blind, controlled evaluation of the influence of droperidol and fentanyl Acta Anaesthesiol Belg 32 1981 141 147
70. S.G. Van Keulen, and J.H. Burton Myoclonus associated with etomidate for ED procedural sedation and analgesia Am J Emerg Med 21 2003 556 558
71. R.H. McDowall, C.S. Scher, and S.M. Barst Total intravenous anesthesia for children undergoing brief diagnostic or therapeutic procedures J Clin Anesth 7 1995 273 280
72. P.A. Modica, and R. Tempelhoff Intracranial pressure during induction of anaesthesia and tracheal intubation with etomidate-induced EEG burst suppression Can J Anaesth 39 1992 236 241