Procedural sedation: a position paper of the Canadian Anesthesiologists’ Society

Practical considerations for performing regional anesthesia: lessons learned from the COVID-19 pandemic

“…Oxygenation and ventilation should be closely monitored if the patient is sedated. Although it is recommended that carbon dioxide (CO 2 ) monitoring should be immediately available for any patient undergoing sedation, 31 one should avoid connecting the CO 2 sampling line directly so as to prevent contamination of the patient monitor. Instead, we improvise by connecting a 15-mm endotracheal tube (ETT) connector and a high-efficiency particulate air (HEPA) heat and moisture exchanging (HME) filter either directly to the simple face mask or interposed by a cut segment of suction tubing.…”

Guidelines to the Practice of Anesthesia – Revised Edition 2019

“…Fasting policies should vary to account for age and preexisting medical conditions and should apply to all forms of anesthesia, including procedural sedation (see Appendix 6). 1 Emergent or urgent procedures should be undertaken after considering the risk of delaying surgery vs the risk of aspiration of gastric contents. The type and amount of food ingested should be considered in determining the duration of fasting.…”

“…Les règles concernant le jeûne devraient varier en fonction de l'âge du patient et de ses antécédents médicaux et s'appliquer à toutes les formes d'anesthésie, incluant la sédation procédurale (voir Annexe 6). 1 Les interventions très urgentes ou urgentes doivent être réalisées après avoir examiné les risques qu'entraînerait leur report comparativement au risque d'aspiration du contenu de l'estomac. Le type et la quantité de nourriture absorbée doivent être pris en considération pour déterminer la durée du jeûne.…”

“…Il est inacceptable qu'un anesthésiologiste administre simultanément une anesthésie générale, une anesthésie régionale majeure (rachidienne, péridurale ou autre) ou une sédation consciente profonde (voir Annexe 6) 1…”

Special announcement—procedural sedation: a position paper of the Canadian Anesthesiologists’ Society

“…This issue of the Journal features the Canadian Anesthesiologists' Society (CAS) position paper on procedural sedation. 1 It represents the most recent version of the usual Appendix 6 that appears in the CAS Guidelines to the Practice of Anesthesia, an updated version of which is published annually. 2 The original position paper on sedation was released as an electronic material supplementary in 2011 as part of the Guidelines; as before, both are available in print and online through the CAS website.…”