Procedural Sedation in Oculofacial Surgery
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.
KeywordsCentral Nervous System Disease Conscious Sedation Nervous System Disease Advanced Life Support Reversal Agent
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