How is the patient's health status assessed prior to sedation in the emergency department (ED)?

Updated: Nov 06, 2018
  • Author: Arul M Lingappan, MD; Chief Editor: Erik D Schraga, MD  more...
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Considerations before and during sedation include periprocedural patient assessment, periprocedural fasting, and monitoring. [30]

A patient's preprocedural health status is an important factor to consider before administering any sedative or analgesic. This helps the clinician determine whether to use sedation for a given procedure and determine which pharmacologic agent to use.

Currently, very few outcome-based studies that dictate what clinical parameters to focus on are available. ED clinicians depend on a comprehensive medical and surgical history, vital signs, mental status, and airway and cardiopulmonary assessment. At the current time, no preprocedural diagnostic tests are supported by literature. [30]

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