In this episode, Sam Ashoo, MD interviews Prayag Mehta, MD and Joshua Kern, MD – two of the authors of the June, 2022 EMP article on Procedural Sedation and Analgesia in the Emergency Department. Listen to the discussion to hear more about the emergency medicine approach to sedation in adults and pediatrics !
Procedural Sedation and Analgesia in the Emergency Department
EMplify – June 2022
Episode Outline:
- Procedural sedation and analgesia (PSA): terminology
- Levels of sedation
- Minimal
- Moderate
- Deep
- General anesthesia
- Prehospital care
- ED care: patient assessment
- ASA class system
- Complications
- Equipment needed (Table 1)
- Larson maneuver (Figure 2)
- Procedural technique
- Current ACEP and AAP recommendations
- Data for 1- or 2-physician sedation
- Preprocedural fasting
- Do we even need to consider this in PSA?
- Capnography
- Oxygen supplementation
- Preprocedural opioids
- Preprocedural sedatives
- Anticholinergics
- Antiemetics
- Treatment (Table 2)
- Fentanyl
- Remifentanil
- Midazolam
- Nitrous oxide
- Propofol
- Ketamine
- Ketofol
- Etomidate
- Reversal agents
- Naloxone
- Flumazenil
- Special populations
- Pediatrics
- Pregnancy
- Geriatrics
- Cutting edge
- Dexmedetomidine
Last Updated on January 25, 2023
Sam Ashoo, MD, FACEP, is board certified in emergency medicine and clinical informatics. He serves as EB Medicine’s editor-in-chief of interactive clinical pathways and FOAMEd blog, and host of EB Medicine’s EMplify podcast. Follow him below for more…
Sam how to get cme credits for the podcast on PSA just completed it
Hi Ivan- to get CME credit you must be a subscriber to EMP. You can read more and claim the 25% discount special this month here: https://www.ebmedicine.net/bday22