Efficacy of Sedation Medications for Procedural Sedation
thesisposted on 2020-01-01, 00:00 authored by Hayley Stromberg
Coming to the hospital in any fashion can be an anxiety ridden and potentially painful experience for our patients. The most common reasons for Emergency Department and hospital visits for adults ages 18-85+ were open wounds of the head, neck, trunk, and extremities, chest pain and cardiac issues, asthma exacerbations, and sprains and strains, in which most instances, these cases resulted in discharge after treatment (Weiss, Wier, Stocks, & Blanchard, 2006). With the thought of having a procedure such as cardioversion, a bronchoscopy, or even an orthopedic injury reduction performed, this can cause anxiety, pain, and agitation for the patient (Adams, Dervay, Alexander, & Susla, 2012). As a care provider, the goal is to minimize these behaviors that patients exhibit and experience. Currently, one of the best ways to accomplish this is by procedural sedation. Procedural sedation, which was previously known as conscious sedation, is defined as “a technique of administering sedatives or dissociative agents with or without analgesics to induce a state that allows patients to tolerate unpleasant procedures while maintaining cardiorespiratory function” (Adams et al., 2012). With the variety of different medications available to be used in the procedural sedation and analgesia (PSA) setting, there’s adverse effects, pharmacological distinctions, and hemodynamic changes in which that knowledge can be of use to the provider. With the objective of identifying whether Ketofol or propofol alone creates more adverse respiratory effects for those undergoing procedural sedation, it's imperative to examine and understand the inner workings of these medications and their characteristics.