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Overview of Anesthesia Scoring Systems, Sedation and Analgesia - Conscious Moderate Sedation

Author: Jassin M. Jouria, MD
(Click author's name for bio)

CE: 3 hours Pharmacology: 0.5 hour
Rated 4.8 out of 5.0 based on 2790 reviews

Course Summary

As noninvasive and minimally invasive procedures become more common outside of operating rooms, the use of conscious moderate sedation to induce a state in which patients can tolerate unpleasant procedures while maintaining airway control and oxygenation independently has had corresponding growth. Conscious moderate sedation, with or without analgesia, creates a depressed level of consciousness with minimal risk to the patient. With the proper understanding of moderate sedation techniques and monitoring requirements, health clinicians can offer patients an alternative to more invasive sedation options. This is the second in a series on Conscious Moderate Sedation.

Course Format


Course Syllabus

I.            Introduction

II.          Sedation And Analgesia

III.        Goals Of Procedural Sedation

IV.         Pain Assessment

1.   Six Elements of Patient Assessment

2.   ASA Classifications I – V

3.   Baseline Values Before Sedation

4.   Mallampati Classification

V.           Intravenous Procedure And Sedation

1.   Intravenous Access

2.   Intravenous Catheter Complication

VI.         Monitored Anesthesia Care

VII.      Maintenance Of Sedation

1.   Sedation and Analgesia: Ketamine

VIII.    Patient Discharge Post-sedation

1.   Discharge Criteria

2.   Aldrete Sedation Score

3.   PADSS and Safety

IX.         Moderate Sedation, Reversal Agents And Awakening

1.   Atipamexole

2.   Flumanzenil

3.   Naloxone

4.   Nalmefene

5.   Naltrexone

6.   Reversal of Neuromuscular Blockade

7.   Dietary Precautions

8.   Delayed Awakening

X.           Summary


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