Books on Anesthesiology and reanimatology
 
Sedation and Analgesia for Diagnostic and Therapeutic Procedures
 
 
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Name: Sedation and Analgesia for Diagnostic and Therapeutic Procedures
Author: Shobha Malviya, Norah N. Naughton, Kevin K. Tremper.
Book type: Textbook
Published: 2003 y.
Size: 2.68 mb
Format: PDF
Publishing house: Humana Press, Totowa, New Jersey.
Number of pages: 323

Preface

Pharmacologically induced sedation has become pervasive throughout medical practice to accomplish diagnostic and minor therapeutic procedures effectively and humanely. As diagnostic techniques and technical procedures become more complex, the need for sedation in patients with varied co-morbid conditions, in diverse settings produces a series of questions regarding safety and effectiveness. The administration of sedation and analgesia for diagnostic and therapeutic procedures has therefore evolved into a unique discipline that is practiced by clinicians with varying skills and training. Disparities in sedation practices have led regulatory agencies to mandate that patients receive the same standard of care regardless of the location in which the care is provided within an institution. To ensure that the standard of care is of high quality, institutions are required to develop guidelines for the practice of sedation, ensure that these guidelines are followed, and provide quality data and outcome measures. In addition, practitioners who administer sedatives and analgesics specifically for a diagnostic and/or a therapeutic procedure require specific credentials for this practice.
It is the intent of ┬źSedation and Analgesia for Diagnostic and Therapeutic Procedures┬╗ to review sedation and analgesia from a wide variety of perspectives starting with the basic neurobiology and physiology of the sedated state, proceeding through clinical guidelines and practices, and concluding with a section on quality-outcome measures and processes. The practical aspects of this book have been further emphasized by incorporating a series of tables and figures in each chapter that highlight protocols, regulatory requirements, recommended dosages of pharmacologic agents, monitoring requirements, and quality assurance tools. The target audience for this text spans multiple disciplines that range from investigators, physicians, and nurses to hospital administrators.
The editors are indebted to all the authors for contributing their knowledge, time, and effort. Special thanks are due to Dr. Ralph Lydic who conceived this project and to Ms. Terri Voepel-Lewis, MSN, RN for her invaluable assistance throughout the development of this text. Finally, we thank Mrs. Colleen Rauch and Mrs. Melissa Bowles for their administrative assistance.


Shobha Malviya, MD.
Norah Naughton, MD.
Kevin K. Tremper, MD, PhD.

Dedication

Preface

Contributors

1. Opioids, Sedation, and Sleep: Different States, Similar Traits, and the Search for Common Mechanisms
2. Practice Guidelines for Pediatric Sedation
3. Practice Guidelines for Adult Sedation and Analgesia
4. Procedure and Site-Specific Considerations for Pediatric Sedation
5. Adult Sedation by Site and Procedure
6. Pharmacology of Sedative Agents
7. Opioids in the Management of Acute Pediatric Pain
8. Patient Monitoring During Sedation
9. Assessment of Sedation Depth
10. Nursing Perspectives on the Care of Sedated Patients
11. Recovery and Transport of Sedated Patients
12. Quality Assurance and Continuous Quality Improvement in Sedation Analgesia

Index


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