Successful Pre-Sedation Assessment

Use of daily spontaneous breathing trials to assess the patient’s ability to sustain ventilation, oxygenation, and breathing.

Lack of enough trained staff in conscious sedation available at the time of the procedure

While there was a policy in place for conscious sedation, even good policies rely on the vigilance of staff to adhere to them. Often times, working conditions allow for distractions, and even the best of practitioners, with the best of intentions, make errors. There were several areas presented in this scenario that require examination and improvement.

Primary goals of conscious sedation include he alteration of mood, the maintenance of consciousness, cooperation, elevation of the pain threshold, a minor variation of vital signs, and the production of some degree

A policy for conscious sedation was in place and not followed by staff. As all staff had been trained in the procedure, completed the appropriate modules, and

Original research related to sedation management occurred in the year 2000 by Kress, Pohlman, O ' Connor, and Hall. Their findings served as a landmark study and initiated the impetus related to improving our sedation practices. According to Kress et al. (2000), daily interruption of sedation led to a decrease in the number of days on the ventilator in the intensive care unit. Several studies since this time have focused on the influence of sedation protocols, and outcomes. This paper will review the synthesis of the discovered studies and highlight the noted contraindications and inconsistencies. Also, explanations including a preliminary conclusion will be discussed.

This Anaesthetic case study would describes and discussed the scenario of a patient through the anaesthetic role of their surgical procedure. It will include and discuss the anaesthetic safety procedures equipment and drug interventions used to ensure this particular patients maximum safety and comfort before and during the procedure. The case study will include pre and peri-operative assessment in order to describe the involvement contribution of various specialties in the holistic care of the critical care patient. This assignment will focus only on the anaesthetics side of the procedure but will also highlight the importance of the triad of anaesthesia and discuss the administration, maintenance and reversal of

Although when it happens, there can be a devastating impact on patients as well as to the multidisciplinary theatre team involved. Consequently, the DAS has produced a consensus set of guidelines for managing failed intubations in adult and paediatric patients, but there are as yet no such nationally-agreed guidelines in obstetrics, therefore each obstetric unit should have their own flowchart with regards to management of failed intubation (Brien and Conlon, 2013). Furthermore, in light of the latest DAS guidelines, several aspects of clinical anaesthetic practise have changed over recent years (Frerk at al, 2015). Amongst the changes are the use of new drugs such as rocuronium and suggamadex and using electronic video-laryngoscopes (Frerk et al, 2015). Further work had also looked at extending the period of apnoea without causing desaturation by optimising the preoxygenation process and adequate patient positioning (Frerk et al, 2015). As a result, updated guidelines for difficult intubations in adult patients were published in 2015; these guidelines provide a flowchart to be used when endotracheal intubation proves difficult or impossible and focus on the central importance of oxygenation while reducing the amount of airway interventions in order to minimize trauma to the delicate airway (Frerk et al, 2015). The main message of the revised guidelines is

As with every other form of medical procedure, sedation dentistry should only be administrated by experienced and trained professionals. Dr. Booth, as well as the rest of the staff at The Tooth Booth Family Dental Clinic, are dedicated to providing their patients with the latest advances in dental care, including remaining current on effective sedation methods. With a Doctorate in Dental Surgery, Dr. Booth has extensive experience with providing sedation options for his patients.

The discharge criteria in the policy states the patient will be fully awake, vital signs stable, no nausea or vomiting, and the patient is able to void. All practitioners that provide moderate sedation must complete a training module prior to providing moderate sedation, this includes personnel assisting with the procedure. The first process failure was not meeting the required monitoring of the patient as mandated by the moderate sedation policy. In the absence of ECG or respiratory monitoring the sedation administered produced apnea then asystole without ED personnel being aware of acute changes in the patient’s condition. There is no explanation for why the patient was not on continuous ECG monitoring. Equipment was found to be in good working order.

sedation have continuous BP, ECG, & Pox monitoring done. Nurse J. who was trained in the

Does the compliance with a sedation protocol improve after nurses receive a sedation competency over a three month period? The available data supported the hypothesis that nursing education and competency can lead to consistent best practices and positive outcomes for patients. The answers to this research question can help develop interventions that support best practices for patients who are mechanically ventilated and receiving intravenous sedation.

Once stage one of the WHO checklist had been completed by the anaesthetic ODP and the Operating Surgeon had signed his part of stage one, in accordance with minimal monitoring standards set by the Association of Anaesthetists of

12, No2, 2012 Rectal and oral sedation with diazepam in children needed dental treatment 326 without difficulty with some difficulty with extreme difficulty 68 32 0 44 56 0 0 20 80 Rectal Oral Placebo Figure (5): comparison in treatment acceptance between rectally, orally and placebo groups assessment by the dentist 's. Table (3) demonstrated the groups - treatments acceptance Crosstabulation that showed that the major number of children (17) of group I treated without difficulty, the major number of children (14) of group II treated with some difficulty with the help of parents holding, meanwhile the major number of children (20) of group III treated with extreme

23. What is the main function of EDTA in endodontics A. Decalcification of dentine B. Cleaning debris from root canal 24. Which is NOT TRUE in relation to the prescription of 5mg or 10mg of diazepam for sedation A. B. Patient commonly complain of post operative headache An acceptable level of anxiolytic action is obtained when the drug is given one hour preoperatively C. There is a profound amnesic action and no side affects D. Active metabolites can give a level of sedation up to 8 hours post operatively E. As Benzodiazepine the action can be reversed with Flumazepil