What is the focus of the clinical history prior to procedural sedation?

Updated: Sep 21, 2020
  • Author: Alma N Juels, MD; Chief Editor: Erik D Schraga, MD  more...
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Answer

Answer

Question the patient or caregiver regarding the following [40, 5] :

  • Abnormalities of major organ systems

  • History of adverse events with sedation or analgesia, or regional or general anesthesia

  • Drug allergies

  • Current medications or herbal products

  • Description and time of last oral intake (for elective procedures requiring deep sedation, should be fasting)

  • Tobacco, alcohol, or substance abuse

  • Vital signs

  • Heart and lung assessment

  • Airway evaluation history of difficult airway and any loose teeth


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