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


Jassin M. Jouria, MD

Jassin M. Jouria is a medical doctor, professor of academic medicine, and medical author. He graduated from Ross University School of Medicine and has completed his clinical clerkship training in various teaching hospitals throughout New York, including King’s County Hospital Center and Brookdale Medical Center, among others. Dr. Jouria has served as a test prep tutor and instructor for Kaplan. He has developed several medical courses and curricula for a variety of educational institutions. Dr. Jouria has also served on multiple levels in the academic field including faculty member and Department Chair. Dr. Jouria continues to serves as a Subject Matter Expert for several continuing education organizations covering multiple basic medical sciences.

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