Patient Safety

5 Key Recommendations for Safe Procedural Sedation Position Statement on Patient Monitoring During Procedural Sedation

The Physician-Patient Alliance for Health & Safety is pleased to release the Position Statement on Procedural Sedation.

The number of noninvasive and minimally invasive procedures performed outside of the operating room has grown exponentially over the last several decades. Depending on the patient and the medical procedure, many of these are performed under sedation to manage the patient’s pain and/or anxiety without inducing general anesthesia.

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Opioid Safety, Patient Safety, Respiratory Compromise

Recommendations for Procedural Sedation Physician-Patient Alliance for Health & Safety Announces Intention to Develop Position Statement

The Physician-Patient Alliance for Health & Safety (PPAHS) announced its intention to develop a position statement on recommendations for procedural sedation.

Michael Wong, JD (Founder and Executive Director, PPAHS) explained that such a position statement on recommendations for procedural sedation would encapsulate guidelines and recommendations from leading medical organizations in Canada and the United States:

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Opioid Safety, Respiratory Compromise

Using Capnography and Recognizing Respiratory Compromise Could Save Patient Lives Physician-Patient Alliance for Health & Safety Releases Clinical Education Podcast with Dr. Jenifer Lightdale

The Physician-Patient Alliance for Health & Safety (PPAHS) released a clinical education podcast, “Using Capnography and Recognizing Respiratory Compromise Could Save Patient Lives.”

The podcast features an interview with Jenifer Lightdale, MPH, MD who is division chief, pediatric gastroenterology and chief quality officer at the Children’s Medical Center at the University of Massachusetts Medical School.

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Patient Safety

Capnography use associated with reduction of adverse outcomes during procedural sedation Continuous Patient Monitoring Reduces Likelihood of Adverse Events and Patient Deaths

Millions of gastrointestinal endoscopy are performed each year in the US, with colonoscopies making up the majority of such procedures. Research conducted by Michael W. Jopling, MD and Qiu Jiejing published in BMC Anesthesiology concluded that capnography use associated with reduction of adverse outcomes during procedural sedation.

Their research sought to “estimate the incidence of pharmacological rescue events and death at discharge from an inpatient or outpatient hospitalization where [gastrointestinal endoscopic procedures] GEP was performed with sedation, and to determine if capnography monitoring was associated with reduced incidence of these adverse outcomes.”

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Opioid Safety, Respiratory Compromise

Nursing Recommendations on How Capnography Improves Patient Safety Sunnybrook Health Sciences Centre monitors patients with capnography during procedural sedation

Nursing recommendations from ARIN and AORN encouraged Sunnybrook Health Sciences Centre to monitor with capnography patients undergoing procedural sedation.

In a podcast with the Physician-Physician Alliance for Health Safety, Barbara McArthur, RN, BScN, CPN(C), an advanced practice nurse at Sunnybrook Health Sciences Centre in Toronto, Canada, discussed why Sunnybrook Health Sciences Centre decided to monitor with capnography.

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Respiratory Compromise

Procedural Sedation guidelines for Tonsillectomy and Adenoidectomy: The Basics

By Lynn Razzano, RN, MSN, ONCC (Clinical Nurse Consultant, Physician-Patient Alliance for Health & Safety)

The American College of Emergency Physicians (ACEP) defines procedural sedation as:

“a technique of administering sedatives or dissociative agents with or without analgesics to induce a state that allows the patient to tolerate unpleasant procedures while maintaining cardiorespiratory function. Procedural sedation and analgesia (PSA) is intended to result in a depressed level of consciousness that allows the patient to maintain oxygenation and airway control independently.”

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