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Chapter 10 - High-risk Patients: Sedation Considerations in Coexisting Disease

Published online by Cambridge University Press:  12 December 2024

By
Alan D. Kaye ,
Henry Liu ,
Elyse M. Cornett  and
Charles J. Fox
Edited by
Richard D. Urman  and
Alan David Kaye
Richard D. Urman
Affiliation:
Ohio State University
Alan David Kaye
Affiliation:
Louisiana State University School of Medicine
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Summary

Certain patient populations requiring sedation for procedures present the clinician with challenging decisions regarding their care and management. Some underlying medical disease states, airway abnormalities, or extremes of age require cautious pre-procedural assessment and planning when sedation is required to minimize the incidence of morbidity or mortality. It should be noted that some of these higher-risk patients should only be sedated by trained anesthesia providers. The following commonly encountered conditions are considered high risk and are associated with a higher rate of complications: old age, obesity, chronic obstructive pulmonary disease, coronary artery disease, and chronic renal failure. This chapter discusses important features of these higher-risk patients and practice management when sedation is required. In all cases, appropriate monitoring, prudent selection and dosing of sedative agents, and careful assessment are important to ensure the best outcome for these higher-risk patients.

Type
Chapter
Information
Moderate and Deep Sedation in Clinical Practice , pp. 127 - 142
Publisher: Cambridge University Press
Print publication year: 2024

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References

References

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Additional Reading

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