Advertisement

Procedural Sedation in Oculofacial Surgery

  • Vivian Schiedler
  • Bryan S. Sires

Abstract

States, hospitals, and ambulatory surgery centers may have different credentialing and privileging requirements for those who administer sedative agents. The surgeon should be aware of these regulations. In general, only licensed independent practitioners such as medical doctors, dentists, registered nurses, physician assistants, or nurse practitioners who have undergone specific training are qualified to evaluate patients for and administer conscious sedation. They should be certified to give advanced life support and trained to rescue a patient who has lost protective reflexes from a deeper level of sedation. They should also be familiar with the pharmacology of the various sedative agents as well as reversal agents. In order to enhance patient safety, the person administering sedation and monitoring the patient for adverse events should not have any other responsibilities during the procedure. The surgeon should be free to fully concentrate on the technical aspects of the procedure.

Keywords

Central Nervous System Disease Conscious Sedation Nervous System Disease Advanced Life Support Reversal Agent 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    American Society of Anesthesiologists. Practice guidelines for sedation and analgesia for non-anesthesiologists: a report by the American Society of Anesthesiologists Task Force on Sedation and Analgesia by Non-Anesthesiologists. Anesthesiology 1996;84:459–471.CrossRefGoogle Scholar
  2. 2.
    Shields RE. A comprehensive review of sedative and analgesic agents. Crit Care Nurs Clin North Am 1997;9:281–287.PubMedGoogle Scholar
  3. 3.
    O’Donnell J, Bragg K, Sell S. Procedural sedation: safely navigating the twilight zone. Nursing 2003;33:36–44.PubMedGoogle Scholar
  4. 4.
    Burke DF, Dunwoody CJ. Naloxone: a word of caution. Orthopaedic Nurs 1990;9:44–46.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2008

Authors and Affiliations

  • Vivian Schiedler
    • 1
  • Bryan S. Sires
    • 2
  1. 1.Oculoplastics and Orbital ConsultantsCharlottesvilleUSA
  2. 2.Allure Laser Center and MedispaKirklandUSA

Personalised recommendations