Procedural sedation in a tertiary referral trauma centre: A retrospective audit

Autor: James Falconer, Drew Richardson
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Zdroj: Emergency Care Journal, Vol 15, Iss 2 (2019)
Druh dokumentu: article
ISSN: 1826-9826
2282-2054
DOI: 10.4081/ecj.2019.8214
Popis: Procedural sedation complications are common in Australasian Emergency Departments (EDs). This study aimed to compare procedural sedation complications between The Canberra Hospital ED (TCH ED) and the available Australasian literature and to determine if sedation associated complications were amenable to simple intervention. All procedural sedations performed over two and half years in TCH ED were retrospectively reviewed. Complications were defined as per the previous comparable Australasian study, as those events requiring an intervention. 1793 sedations were reviewed: 1125 (63%) for orthopaedic procedures, other 276 (a collection of painful procedures), 208 suturing and 169 direct current cardioversions. The median age was 29 years with 538 (30%) children under the age of 16 years. The complication rate in the initial six-months was 4.0% dropping to 1.3% after multiple education sessions before rebounding to 3.1% in the last six-months. The overall complication rate was 3.1% (95% CI 2.3-4.0) which is significantly lower (P
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