Conscious sedation clinical guideline. Conscious Sedation Working Group, Medical Association of South Africa.
| Autor: | Pinkney-Atkinson VJ; Medical Association of South Africa, Alkantrant. masavpa0@aztec.co.za |
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| Jazyk: | angličtina |
| Zdroj: | South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde [S Afr Med J] 1997 Apr; Vol. 87 (4 Pt 2), pp. 484-92. |
| Abstrakt: | Objective: The objective of this guideline is to promote safe conscious sedation technique. Outcome: (I) The use of safe conscious sedation techniques with endpoints of patient comfort and anxiolysis without loss of protective reflexes; (II) the use of drugs with a wide margin of safety that will protect against unintended oversedation. Evidence: Based on existing consensus statements and some research reports. Validation: Relevant organisations involved in conscious sedation were asked to select a representative to participate in the MASA Conscious Sedation Working Group. All participants represented organisations. The working group met in January 1996 to consider a draft guideline. The document was amended and circulated to working group members, representative organisations and 35 interested persons for endorsement and comment using a modified Delphi technique. All respondents endorsed the guideline (with or without minor corrections.) The national organisations endorsing the guidelines are listed. Recommendations: The use of drugs, equipment and personnel as directed in such a way that enhances the safety of the patient. Pre-sedation screening for at-risk patients. Intra-sedation monitoring, especially the use of a pulse oximeter. Post-sedation care and discharge instructions for the patient. |
| Databáze: | MEDLINE |
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