BACKGROUND Adequate assessment and control of sedation play crucial roles in the proper performance of mechanical ventilation. METHODS A total of 30 patients with various pulmonary diseases were prospectively enrolled. The study population was randomized into two groups. The sedation assessment group (SAG) received active protocol-based control of sedation, and in the empiric control group (E...

Appropriate conscious sedation is a critical component for successful awake laparoscopy. It is not surprising that the patients in both cases experienced pain during laparoscopy, since only 50 g of fentanyl citrate was administered in the first case, and 100 g in the second case. The protocol used for conscious sedation must be of sufficient efficacy to allow the awake procedure to continue wit...

INTRODUCTION A protocol of no sedation has been shown to reduce the time patients receive mechanical ventilation and to reduce intensive care and total hospital length of stay. The long-term psychological effects of this strategy have not yet been described. The purpose of the study was to test whether a strategy of no sedation alters long-term psychological outcome compared with a standard str...

UNLABELLED In this study, we tested the validity of the bispectral index (BIS) monitor during conscious and deep sedation of children by comparing it with the University of Michigan Sedation Scale (UMSS), a validated observational pediatric sedation scale. Eighty-six children <12 yr of age were enrolled in this observational study. The subjects underwent conscious or deep sedation administered ...

BACKGROUND Conscious sedation has been widely utilized in plastic surgery. However, inadequate research has been published evaluating adequate drug dosage and depth of sedation. In clinical practice, sedation is often inadequate or accompanied by complications when sedatives are administered according to body weight alone. The purpose of this study was to identify variables influencing the dept...

BACKGROUND AND STUDY AIM The purpose of this study was to evaluate whether moderate-to-deep sedation with propofol and alfentanil can be administered safely by nonmedical sedation practitioners, and the outcomes of this practice in the Netherlands. We retrospectively analyzed the occurrence of sedation-related complications in patients undergoing gastrointestinal endoscopic procedures. PATIEN...

various levels of sedation ranging from conscious sedation to general anesthesia with participation of anesthesiologists. One of these studies reported only five sedation-related complications (2.3%) in the elderly (3 hypoxia cases and 2 aspiration pneumonias), while none were reported in the other studies. It is likely that because these studies focused on the overall safety of DBE and not onl...