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Chapter 4 - Patient Evaluation and Procedure Selection

Published online by Cambridge University Press:  12 December 2024

By
Emily Goldenberg  and
Debra E. Morrison
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

Patient evaluation for a sedation procedure may begin with the first telephone contact. When the patient first calls to schedule an appointment, an administrative assistant or scheduler may ask screening questions about age, height and weight, the presence of common comorbid diseases such as diabetes, heart and lung disease, snoring/obstructive sleep apnea, and routine use of narcotics or sedatives. Although clerical staff may not have the clinical education to question in detail or follow up on positive findings, initial screening may help determine which patients are good candidates for sedation and those who are not. Categories of sedation include (1) local with minimal to no sedation, (2) moderate sedation, (3) deep sedation, and (4) sedation administered by an anesthesia provider.

Type
Chapter
Information
Moderate and Deep Sedation in Clinical Practice , pp. 51 - 60
Publisher: Cambridge University Press
Print publication year: 2024

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References

Additional Reading

American Society of Anesthesiologists Task Force on Preanesthesia Evaluation. Practice advisory for preanesthesia evaluation. Anesthesiology. 2002;96:485–96.Google Scholar
American Society of Anesthesiologists Task Force on Moderate Procedural Sedation and Analgesia. Practice guidelines for moderate procedural sedation and analgesia 2018. Anesthesiology. 2018;28:437–79.Google Scholar
Association of periOperative Registered Nurses. Position statement on allied health care providers and support personnel in the perioperative practice setting. www.aorn.org/guidelines-resources/clinical-resources/position-statementsGoogle Scholar
Association of periOperative Registered Nurses. Position statement on one perioperative registered nurse circulator dedicated to every patient undergoing a surgical or other invasive procedure. www.aorn.org/guidelines-resources/clinical-resources/position-statementsGoogle Scholar
Chang, B, Urman, RD. Non-operating room anesthesia: the principles of patient assessment and preparation. Anesthesiol Clin. 2016 Mar;34(1): 223–40. PMID: 26927750.CrossRefGoogle ScholarPubMed
Frank, RL. Procedural sedation in adults. UpToDate 2011. www.uptodate.com/contents/procedural-sedation-in-adultsGoogle Scholar
Morrison, DE, Harris, AL. Preoperative and anesthetic management of the surgical patient. In Wilson, SE, ed. Educational Review Manual in General Surgery, 8th ed. New York, NY: Castle Connolly, 2009.Google Scholar
Ogg, M, Burlingame, B. Clinical issues: recommended practices for moderate sedation/analgesia. AORN J 2008;88:275–7.CrossRefGoogle Scholar
Ogg, M, Burlingame, B. University Health System Consortium Consensus Group on Deep Sedation: Deep Sedation Best Practice Recommendations. Oak Brook, IL: UHC, 2006.Google Scholar
Ogg, M, Burlingame, B. University Health System Consortium Consensus Group on Moderate Sedation: Moderate Sedation Best Practice Recommendations. Oak Brook, IL: UHC, 2005.Google Scholar

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