Sedation and analgesia recommendations for non-anesthesiologist physicians and dentists in patients over 12 years old
Keywords:
Consensus, Analgesia, Physicians, Dentists, Patients
Abstract
Most of the complications related to sedation are preventable. This document defines some recommendations for non-anesthesiologists so that they can provide sedation level I and II with adequate safety. The most important recommendations are: that the sedation be provided by someone different from the person who performs the surgical procedure; designation of the training and monitoring of thje person who sedates; the use of only one medication for sedation, and the availability of medications and equipment to manage complications; the mandatory need of an assessment prior to the sedation, as well as informed consent and record of events during t
References
1. Landro L. Taming the 'Wild West' of Outpatient Surgery - Doctors' Offices, Wall Street Journal (Washington). 2010 Oct 27.
2. Bhananker SM, Posner KL, Cheney FW, et al. Injury and liability associated with monitored anesthesia care: a closed claims analysis. Anesthesiology. 2006;104:228-34.
3. Metzner J, Domino KB. Risks of anesthesia or sedation outside the operating room: the role of the anesthesia care provider. Curr Opin Anaesthesiol. 2010;23:523-31.
4. Metzner J, Posner KL, Domino KB. The risk and safety of anesthesia at remote locations: the US closed claims analysis. Curr Opin Anaesthesiol. 2009;22:502-8.
5. Ambrosiadou BV, Goulis DG. The DELPHI method as a consensus and knowledge acquisition tool for the evaluation of the DIABETES system for insulin administration. Med Inform Internet Med. 1999;24:257-68.
6. Practice guidelines for sedation and analgesia by non-anesthesiologists. Anesthesiology. 2002;96:1004-17.
7. Sagarin MJ, Barton ED, Chng YM, et al. Airway management by US and Canadian emergency medicine residents: a multicenter analysis of more than 6,000 endotracheal intubation attempts. Ann Emerg Med. 2005;46:328-36.
8. Galindo Arias M. Morbimortalidad por anestesia en Colombia. Rev Colomb Anestesiol. 2003;31:53-61.
9. Ahmad S. Office based--is my anesthetic care any different? Assessment and management. Anesthesiology Clin. 2010;28:369-84.
10. Goulson DT, Fragneto RY. Anesthesia for gastrointestinal endoscopic procedures. Anesthesiology Clin. 2009;27:71-85.
11. Pino RM. The nature of anesthesia and procedural sedation outside of the operating room. Curr Opin Anaesthesiol.2007;20:347-51.
12. World Health Organization (WHO). Safe Surgery Saves Lives. Surgical Safety Checklist. Geneva: WHO; 2009.
13. Arriaga A, Urman R, Shapiro F. Safety checklist for office-based surgery. Boston: Institute for Safety in Office-Based Surgery (ISOBS); 2010.
14. ANZCA with other Societies and Colleges: Guidelines on Sedation and/or Analgesia for Diagnostic and Interventional Medical, Dental or Surgical Procedures, Review Professional Statement 9, 2010. Australia, New Zeland: College of Anaesthetists; 2010.
15. McQuaid KR, Laine L. A systematic review and meta-analysis of randomized, controlled trials of moderate sedation for routine endoscopic procedures. Gastrointest Endosc. 2008;67:910-23.
16. American Dental Association (ADA). Guidelines for the Use of Sedation and General Anesthesia by Dentists. Chicago: ADA; 2007.
17. Center for Medicaid and State Operations/Survey and Certification Group: Revised Hospital Anesthesia Services Interpretive Guidelines-State Operations Manual (SOM) Appendix A. Baltimore: Services Hah., CMS; 2010. p. 16
18. Singh H, Poluha W, Cheung M, et al. Propofol for sedation during colonoscopy. Cochrane Database Syst Rev. 2008:CD006268.
19. Rex DK, Deenadayalu VP, Eid E, et al. Endoscopist-directed administration of propofol: a worldwide safety experience. Gastroenterol. 2009;137:1229-37.
20. Thompson AM, Wright DJ, Murray W, et al. Analysis of 153 deaths after upper gastrointestinal endoscopy: room for improvement? Surg Endosc. 2004;18:22-5.
21. Vargo JJ, Cohen LB, Rex DK, et al. Position statement: nonan-esthesiologist administration of propofol for GI endoscopy. Gastrointest Endosc. 2009;70:1053-9.
22. Woodcock J. FDA Denial Letter to ACG Petition on Propofol. Rockville: Department of Human and Health Services; 2010.
23. Dumonceau JM, Riphaus A, Aparicio JR, et al. European Society of Gastrointestinal Endoscopy, European Society of Gastroenterolo-gy and Endoscopy Nurses and Associates, and the European Society of Anaesthesiology Guideline: Non-anesthesiologist administration of propofol for GI endoscopy. Endoscopy. 2010;42:960-74.
2. Bhananker SM, Posner KL, Cheney FW, et al. Injury and liability associated with monitored anesthesia care: a closed claims analysis. Anesthesiology. 2006;104:228-34.
3. Metzner J, Domino KB. Risks of anesthesia or sedation outside the operating room: the role of the anesthesia care provider. Curr Opin Anaesthesiol. 2010;23:523-31.
4. Metzner J, Posner KL, Domino KB. The risk and safety of anesthesia at remote locations: the US closed claims analysis. Curr Opin Anaesthesiol. 2009;22:502-8.
5. Ambrosiadou BV, Goulis DG. The DELPHI method as a consensus and knowledge acquisition tool for the evaluation of the DIABETES system for insulin administration. Med Inform Internet Med. 1999;24:257-68.
6. Practice guidelines for sedation and analgesia by non-anesthesiologists. Anesthesiology. 2002;96:1004-17.
7. Sagarin MJ, Barton ED, Chng YM, et al. Airway management by US and Canadian emergency medicine residents: a multicenter analysis of more than 6,000 endotracheal intubation attempts. Ann Emerg Med. 2005;46:328-36.
8. Galindo Arias M. Morbimortalidad por anestesia en Colombia. Rev Colomb Anestesiol. 2003;31:53-61.
9. Ahmad S. Office based--is my anesthetic care any different? Assessment and management. Anesthesiology Clin. 2010;28:369-84.
10. Goulson DT, Fragneto RY. Anesthesia for gastrointestinal endoscopic procedures. Anesthesiology Clin. 2009;27:71-85.
11. Pino RM. The nature of anesthesia and procedural sedation outside of the operating room. Curr Opin Anaesthesiol.2007;20:347-51.
12. World Health Organization (WHO). Safe Surgery Saves Lives. Surgical Safety Checklist. Geneva: WHO; 2009.
13. Arriaga A, Urman R, Shapiro F. Safety checklist for office-based surgery. Boston: Institute for Safety in Office-Based Surgery (ISOBS); 2010.
14. ANZCA with other Societies and Colleges: Guidelines on Sedation and/or Analgesia for Diagnostic and Interventional Medical, Dental or Surgical Procedures, Review Professional Statement 9, 2010. Australia, New Zeland: College of Anaesthetists; 2010.
15. McQuaid KR, Laine L. A systematic review and meta-analysis of randomized, controlled trials of moderate sedation for routine endoscopic procedures. Gastrointest Endosc. 2008;67:910-23.
16. American Dental Association (ADA). Guidelines for the Use of Sedation and General Anesthesia by Dentists. Chicago: ADA; 2007.
17. Center for Medicaid and State Operations/Survey and Certification Group: Revised Hospital Anesthesia Services Interpretive Guidelines-State Operations Manual (SOM) Appendix A. Baltimore: Services Hah., CMS; 2010. p. 16
18. Singh H, Poluha W, Cheung M, et al. Propofol for sedation during colonoscopy. Cochrane Database Syst Rev. 2008:CD006268.
19. Rex DK, Deenadayalu VP, Eid E, et al. Endoscopist-directed administration of propofol: a worldwide safety experience. Gastroenterol. 2009;137:1229-37.
20. Thompson AM, Wright DJ, Murray W, et al. Analysis of 153 deaths after upper gastrointestinal endoscopy: room for improvement? Surg Endosc. 2004;18:22-5.
21. Vargo JJ, Cohen LB, Rex DK, et al. Position statement: nonan-esthesiologist administration of propofol for GI endoscopy. Gastrointest Endosc. 2009;70:1053-9.
22. Woodcock J. FDA Denial Letter to ACG Petition on Propofol. Rockville: Department of Human and Health Services; 2010.
23. Dumonceau JM, Riphaus A, Aparicio JR, et al. European Society of Gastrointestinal Endoscopy, European Society of Gastroenterolo-gy and Endoscopy Nurses and Associates, and the European Society of Anaesthesiology Guideline: Non-anesthesiologist administration of propofol for GI endoscopy. Endoscopy. 2010;42:960-74.
How to Cite
1.
Ibarra P, Galindo M, Niño C, Rubiano A, Echeverry-Marin P, Rincón J, et al. Sedation and analgesia recommendations for non-anesthesiologist physicians and dentists in patients over 12 years old. Colomb. J. Anesthesiol. [Internet]. 2012 Jan. 1 [cited 2024 Apr. 25];40(1):67-74. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/868
Downloads
Download data is not yet available.
Published
2012-01-01
How to Cite
1.
Ibarra P, Galindo M, Niño C, Rubiano A, Echeverry-Marin P, Rincón J, et al. Sedation and analgesia recommendations for non-anesthesiologist physicians and dentists in patients over 12 years old. Colomb. J. Anesthesiol. [Internet]. 2012 Jan. 1 [cited 2024 Apr. 25];40(1):67-74. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/868
Issue
Section
Clinical Practice Guides
Altmetric
| Article metrics | |
|---|---|
| Abstract views | |
| Galley vies | |
| PDF Views | |
| HTML views | |
| Other views | |
