Association between capnography and recovery time after procedural sedation and analgesia in the emergency department

Shirane, Shogo; Funakoshi, Hiraku; Takahashi, Jin; Homma, Yosuke; Norii, Tatsuya

doi:10.1002/ams2.901

Cited by 2 publications

(2 citation statements)

References 21 publications

(57 reference statements)

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“…According to recent reviews and trials, the incidence of composite adverse events was reduced with the addition of capnography monitoring: this was mostly due to the significant reduction of mild and severe oxygen desaturation events, which may have helped to avoid the need for assisted ventilation [157,158]. Capnography use, nonetheless, did not associate with shorter recovery time in the ED [159].…”

Section: Future Perspectives In Procedural Sedation and Analgesiamentioning

confidence: 99%

Procedural Sedation in Emergency Department: A Narrative Review

Cappellini,

Bavestrello Piccini,

Campagnola

et al. 2024

Preprint

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Procedural Sedation and Analgesia (PSA) in the Emergency Department (ED) presents a crucial aspect of emergency medicine, enabling the execution of painful or distressing procedures with minimal patient discomfort. This narrative review delineates the pharmacological framework, methodologies, and clinical considerations integral to optimizing PSA, with a particular focus on pediatric and geriatric populations. Through a comprehensive review and analysis of current practices, this work evaluates the pharmacokinetics and pharmacodynamics of widely utilized sedatives and analgesics, including propofol, ketamine, dexmedetomidine, fentanyl, midazolam, etomidate, nitrous oxide, and remimazolam. Special attention is dedicated to the selection criteria based on patient-specific risk factors, procedural requirements, and the management of potential adverse effects. The manuscript also explores innovative sedation techniques and the integration of new pharmacological agents, emphasizing evidence-based approaches to enhance patient safety and outcome. Results underscore the significance of tailored sedation strategies, especially for vulnerable groups such as pediatric and geriatric patients, highlighting the need for meticulous pre-procedural assessment and monitoring to mitigate risks. Conclusions drawn advocate for a nuanced application of PSA, guided by current evidence and clinical guidelines, to improve the quality of care in emergency settings. This research reinforces the imperative for ongoing education, skill development, and adaptation of new evidence into clinical practice to advance procedural sedation and analgesia in the ED.

show abstract

Section: Future Perspectives In Procedural Sedation and Analgesiamentioning

confidence: 99%

Procedural Sedation in Emergency Department: A Narrative Review

Cappellini,

Bavestrello Piccini,

Campagnola

et al. 2024

Preprint

View full text Add to dashboard Cite

show abstract

“…According to recent reviews and trials, the incidence of composite adverse events was reduced with the addition of capnography monitoring: this was mostly due to the significant reduction in mild and severe oxygen desaturation events, which may have helped to avoid the need for assisted ventilation [152,153]. Capnography use, nonetheless, was not associated with shorter recovery time in the ED [154].…”

Section: Future Perspectives In Procedural Sedation and Analgesiamentioning

confidence: 99%

Procedural Sedation in Emergency Department: A Narrative Review

Cappellini,

Bavestrello Piccini,

Campagnola

et al. 2024

Emergency Care and Medicine

View full text Add to dashboard Cite

Procedural sedation and analgesia (PSA) in the emergency department (ED) presents a crucial aspect of emergency medicine, enabling the execution of painful or distressing procedures with minimal patient discomfort. This narrative review delineates the pharmacological framework, methodologies, and clinical considerations integral to optimizing PSA, with a particular focus on pediatric and geriatric populations. Through a comprehensive review and analysis of current practices, this work evaluates the pharmacokinetics and pharmacodynamics of widely utilized sedatives and analgesics, including propofol, ketamine, dexmedetomidine, fentanyl, midazolam, etomidate, nitrous oxide, and remimazolam. Special attention is dedicated to the selection criteria based on patient-specific risk factors, procedural requirements, and the management of potential adverse effects. The manuscript also explores innovative sedation techniques and the integration of new pharmacological agents, emphasizing evidence-based approaches to enhance patient safety and outcome. The results underscore the significance of tailored sedation strategies, especially for vulnerable groups such as pediatric and geriatric patients, highlighting the need for meticulous pre-procedural assessment and monitoring to mitigate risks. The conclusions drawn advocate for a nuanced application of PSA, guided by current evidence and clinical guidelines, to improve the quality of care in emergency settings. This research reinforces the imperative for ongoing education, skill development, and the adaptation of new evidence into clinical practice to advance procedural sedation and analgesia in the ED.

show abstract

Association between capnography and recovery time after procedural sedation and analgesia in the emergency department

Cited by 2 publications

References 21 publications

Procedural Sedation in Emergency Department: A Narrative Review

Procedural Sedation in Emergency Department: A Narrative Review

Procedural Sedation in Emergency Department: A Narrative Review

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