This week we drop into some of the nitty gritty on PSA including preparation and patient assessment as well as discuss some common pitfalls.
Episode 106.0 – Procedural Sedation and Analgesia II
Core EM - Emergency Medicine Podcast
July 17, 2017
Audio is streamed directly from the publisher (media.blubrry.com) as published in their RSS feed. Play Podcasts does not host this file. Rights-holders can request removal through the copyright & takedown page.
Show Notes
Show Notes
Take Home Points
- Always perform a full pre-PSA evaluation including an airway assessment. Time of last meal shouldn’t delay your sedation based on the best available evidence.
- Always do a complete setup including consideration of different agents, dosage calculations, preparation of airway equipment and reversal agents.
- PSA serious adverse events are rare but you still must be prepared for them. Careful agent selection and dosing can help prevent issues but, know your outs.
- If apnea develops, do some basic maneuvers before you reach for the BVM or laryngoscope. Remember OOPS as in “oops, my patient went apneic.” Oxygen on, pull the mandible forward and sit the patient up. This fixes most issues
Show Notes
Core EM: Procedural Sedation and Analgesia Resources
EM Updates:Emergency Department Procedural Sedation Checklist v2
REBEL EM: Complications of Procedural Sedation
Bellolio MF et al. Incidence of adverse events in adults undergoing procedural sedation in the emergency department: a systematic review and meta-analysis. Acad Emerg Med 2016; 23: 119-34. PMID: 26801209
Read More