Curriculum for the administration of sedation outside the operating room in patients over 12 years of age
The "Curriculum for the administration of sedation outside the OR in patients over 12 years of age" was developed by the Universidad Nacional de Colombia, by invitation of the Colombian Society of Anesthesiology and Resuscitation - S.C.A.R.E.
Identify the essential knowledge and the skills required by practitioners for the safe and effective administration of sedation to develop of a curriculum for the administration of sedation outside the operating room in patients over 12 years of age.
Materials and methods:
The curriculum was developed based on the methodological guiding principles of the Clinical Practice Guidelines for the administration of sedation outside the OR, using the PICO approach, in addition to the recommendations according to levels of evidence under the GRADE methodology.
The Curriculum was designed with ten (10) recommendations about the competencies that the professional administering sedation to patients older than 12 years of age must have, for diagnostic or therapeutic procedures outside the OR.
The Curriculum collects the best available evidence with a view to determine the competencies that the professional administering sedation to patients older than 12 years old shall develop, for diagnostic or therapeutic procedures outside the OR, and hence to contribute to improved quality, reducing the variability and morbidity of patients requiring sedation outside the OR.
2. Kain ZN, Fitch JC, Kirsch JR, Mets B, Pearl RG. Future of anesthesiology is perioperative medicine: a call for action. Anesthesiology. 2015;122:1192-5.
3. Fraser SW, Greenhalgh T. Coping with complexity: educating for capability. BMJ. 2001;323:799-803.
4. Potts M, Prata N, Walsh J, Grossman A. Parachute approach to evidence based medicine. BMJ. 2006;333:701-3.
5. Schneeweiss S, Ratnapalan S. Impact of a multifaceted pediatric sedation course: self-directed learning versus a formal continuing medical education course to improve knowledge of sedation guidelines. CJEM. 2007;9:93-100.
6. Tobin CD, Clark CA, McEvoy MD, Reves JG, Schaefer JJ, Wolf BJ, et al. An approach to moderate sedation simulation training. Simul Healthc. 2013;8:114-23.
7. Kobayashi L, Dunbar-Viveiros JA, Devine J, Jones MS, Overly FL, Gosbee JW, et al. Pilot-phase findings from high-fidelity in situ medical simulation investigation of emergency department procedural sedation. Simul Healthc. 2012;7:81-94.
8. Komasawa N, Fujiwara S, Atagi K, Ueki R, Haba M, Ueshima H, et al. Effects of a simulation-based sedation training course on non-anesthesiologists' attitudes toward sedation and analgesia. J Anesth. 2014;28:785-9.
9. Ehsan Z, Mahmoud M, Shott SR, Amin RS, Ishman SL. The effects of anesthesia and opioids on the upper airway: a systematic review. Laryngoscope. 2016;126:270-84.
10. Eastwood PR, Platt PR, Shepherd K, Maddison K, Hillman DR. Collapsibility of the upper airway at different concentrations of propofol anesthesia. Anesthesiology. 2005;103:470-7.
11. Schulte DJ. Sedation: patient safety and informed consent. J Michigan Dental Assoc. 2015;97:16.
12. Chang B, Urman RD. Non-operating room anesthesia: the principles of patient assessment and preparation. Anesthesiol Clin. 2016;34:223-40.
13. Dumonceau JM, Riphaus A, Beilenhoff U, Vilmann P, Hornslet P, Aparicio JR, et al. European curriculum for sedation training in gastrointestinal endoscopy: position statement of the European Society of Gastrointestinal Endoscopy (ESGE) and European Society of Gastroenterology and Endoscopy Nurses and Associates (ESGENA). Endoscopy. 2013;45:496-504.
14. American Society of Anesthesiologists. Task force on sedation and analgesia by non-anesthesiologists. Practice guidelines for sedation and analgesia by non-anesthesiologists. Anesthesiology. 2002;96:1004-17.
15. Scott B, Eckle T. The impact of sedation protocols on outcomes in critical illness. Ann Transl Med. 2016;4:33.
16. Grocott MP, Pearse RM. Perioperative medicine: the future of anaesthesia? Br J Anaesth. 2012;108:723-6.
17. Tirodker U, Kahlenberg L, Watson L, Patterson M, Wachsberger D, Gothard M, et al. 879: The implementation & impact of a modified who procedural sedation safety checklist on risk reduction. Crit Care Med. 2014;42:A1572.
18. Turner E, Bacha T, Denberu M, Hollman G, Scott H. Development of a safe and effective sedation practice in a resource limited setting. Crit Care Med. 2013;41 Suppl. A:35. [ Links ]
19. Pyati S. Program to teach moderate sedation in the gastrointestinal endoscopy suite. Br J Anaesth. 2012;108(S2):ii310-67.
20. Atagi K, Komasawa N, Ueki R, Nakagawa M, Kaminoh Y. 624: Simulation-based moderate sedation training course improved juniorresident's attitude toward consciousness sedation. Crit Care Med. 2012;40:1-328.
21. Ehrhardt BS, Staubach KC. A program for education, competency, and quality in procedural sedation. Intl Anesthesiol Clin. 2013;51:33-42.
22. Slagelse C, Vilmann P, Hornslet P, Hammering A, Mantoni T. Nurse-administered propofol sedation for gastrointestinal endoscopic procedures: first Nordic results from implementation of a structured training program. Scand J Gastroenterol. 2011;46:1503-9.
23. Namdar M, Varotto L, Mattey-Prévot F, Lyvet J, Marcelot D, Eichenberger A. Feasibility and safety of nurse-directed deep sedation for catheter ablation of ATRIAL. Heart Rhythm. 2015;12 Suppl.:S369-70.
24. Turnellle M, Moscoso L, Hamlin K, Daud Y, Carlson D. Development of a pediatric hospitalist sedation service: training and implementation. J Hosp Med. 2012;7:335-9.
25. Burbano-Paredes CC, Amaya-Guio J, Rubiano-Pinzón AM, Hernández-Caicedo ÁC, Grillo-Ardila CF. Guía de práctica clínica para la administración de sedación fuera del quirófano en pacientes mayores de 12 años. Rev Colomb Anestesiol. 2017;45:224-38.
26. Ibarra P Robledo B, Galindo M, Niño C, Rincón D. Normas mínimas 2009 para el ejercicio de la anestesiología en Colombia. Comité de Seguridad. Rev Colomb Anestesiol. 2009;37:235-53.
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