SlideShare a Scribd company logo
1 of 19
Download to read offline
Sedation
Hassan Mohamed Ali
Associate professor of anesthesia and pain management, Anesthesia department, Cairo
University.
MB.B.ch, M Sc, M.D, FCAI, DESA
Meeqat General Hospital, Madinah Munawarah
Sedation
Sedation
Sedation
 Definition :
 The use of medications to minimally depress the
level of consciousness in a patient while allowing
the patient to continually and independently
maintain a patent airway and respond to verbal
commands and/or gentle stimulation.
Sedation
 1-glasgow coma scale
 2-The Ramsay scale
 3-Modified Ramsay Sedation Scale
 4-University of Michigan Sedation Scale
(UMSS)
 5-. The Dartmouth Operative Conditions
Scale (DOCS)
Score Characteristics
0 Awake and alert
1
Minimally sedated: tired/sleepy,
appropriate response to verbal
conversation and/or sound
2
Moderately sedated:
somnolent/sleeping, easily aroused
with light tactile stimulation or a simple
verbal command
3
Deeply sedated: deep sleep, arousable
only with significant physical
stimulation
4 Unarousable
 It is used for a variety of diagnostic and
surgical procedures especially:
 endoscopy
 closed reduction of fracture
 radiologic procedures
 Reassurance
 Explanation
 Drugs:
 Benzodiazepines
(Midazolam,lorazepam,diazepam)
 Narcotics (Pethidine,fentanyl,morphine…etc)
 Hypnotics (Chloral hydrate,propofol,
Barbiturates)
 Dexmedetomidine (precedex)
 ketamine
 Midazolam:
 Dose: 1 to 2.5 mg slow IV every 2 minutes
 Antidote: Flumazenil (Anexate)
 Fentanyl
 Dose:1g.kg-1
 Antidote: Naloxone (Narcain)

 N.B. :I.V, weight
 Environment:
• crush trolley
• airway equipment
• full monitoring
• alarming system
• Patient:
• consent
• History
• Examination: airway, vitals
 Equipment and monitoring:
 oxygen supply
 suction apparatus and catheter
 airway equipment's
 face mask
 oral or nasopharyngeal airways
 LMA
 resuscitation bag
 endotracheal tubes
 laryngoscopes
 resuscitative equipment and medications (crash
cart)
 Doctor or nurse beside the procedure all
the times
 O2 saturation
 Vital signs checked (BP, pulse, respiratory)
 Documentation
 Failure
 Pain
 Over sedation(delayed recovery)
 Airway obstruction
 Vomiting
 Hypotension
 Arrhythmia
 hypoxia
 ACLS
 ER
 ICU
 Anesthesia
 WELL TRAINED PERSONNEL
 Follow the policy
 Appropriate alertness (brain)
 Appropriate vital signs (heart)
 Oxygen saturation above 92%on room air(lung)
 Ambulation (if he/she ambulated before)(limbs)
 No nausea or vomiting (stomach)


More Related Content

What's hot

Preanesthetic Assessment
Preanesthetic AssessmentPreanesthetic Assessment
Preanesthetic AssessmentRamanGhimire3
 
Procedural Sedation
Procedural SedationProcedural Sedation
Procedural SedationSCGH ED CME
 
PAC - Pre Anaesthetic Checkup
PAC - Pre Anaesthetic CheckupPAC - Pre Anaesthetic Checkup
PAC - Pre Anaesthetic CheckupMr.Harshad Khade
 
Extubation protocol in the OR and ICU
Extubation protocol in the OR and ICUExtubation protocol in the OR and ICU
Extubation protocol in the OR and ICURalekeOkoye
 
Pre anesthetic evaluation
Pre anesthetic evaluationPre anesthetic evaluation
Pre anesthetic evaluationSai Divya Varre
 
Monitored anaesthesia care
Monitored anaesthesia careMonitored anaesthesia care
Monitored anaesthesia careAnaestHSNZ
 
Sedation analgesia in icu
Sedation analgesia in icuSedation analgesia in icu
Sedation analgesia in icuAnkit Gajjar
 
NON OPERATING ROOM ANAESTHESIA
NON OPERATING ROOM ANAESTHESIA NON OPERATING ROOM ANAESTHESIA
NON OPERATING ROOM ANAESTHESIA Kundan Ghimire
 
ANAESTHESIA: INDUCTION, MAINTENACE & REVERSAL
ANAESTHESIA: INDUCTION, MAINTENACE & REVERSAL ANAESTHESIA: INDUCTION, MAINTENACE & REVERSAL
ANAESTHESIA: INDUCTION, MAINTENACE & REVERSAL Alex Lagoh
 
Preoperative Evaluation- Anaesthesia
Preoperative Evaluation- AnaesthesiaPreoperative Evaluation- Anaesthesia
Preoperative Evaluation- AnaesthesiaUmang Sharma
 
COMPLICATIONS OF SPINAL & EPIDURAL ANAESTHESIA
COMPLICATIONS OF SPINAL & EPIDURAL ANAESTHESIACOMPLICATIONS OF SPINAL & EPIDURAL ANAESTHESIA
COMPLICATIONS OF SPINAL & EPIDURAL ANAESTHESIAhanisahwarrior
 
Pre anaesthetic assessment and preoperative fasting guidelines
Pre anaesthetic assessment and preoperative fasting guidelinesPre anaesthetic assessment and preoperative fasting guidelines
Pre anaesthetic assessment and preoperative fasting guidelinesAnor Abidin
 
Introduction to Regional
Introduction to Regional	Introduction to Regional
Introduction to Regional Khalid
 
Ambulatory Anesthesia
Ambulatory AnesthesiaAmbulatory Anesthesia
Ambulatory AnesthesiaSaeid Safari
 
Monitoring in anaesthesia ro
Monitoring in anaesthesia roMonitoring in anaesthesia ro
Monitoring in anaesthesia rofarranajwa
 

What's hot (20)

Difficult airway
Difficult airwayDifficult airway
Difficult airway
 
Preanesthetic Assessment
Preanesthetic AssessmentPreanesthetic Assessment
Preanesthetic Assessment
 
Procedural Sedation
Procedural SedationProcedural Sedation
Procedural Sedation
 
Asa classification
Asa classificationAsa classification
Asa classification
 
PAC - Pre Anaesthetic Checkup
PAC - Pre Anaesthetic CheckupPAC - Pre Anaesthetic Checkup
PAC - Pre Anaesthetic Checkup
 
Extubation protocol in the OR and ICU
Extubation protocol in the OR and ICUExtubation protocol in the OR and ICU
Extubation protocol in the OR and ICU
 
Pre anesthetic evaluation
Pre anesthetic evaluationPre anesthetic evaluation
Pre anesthetic evaluation
 
Monitored anaesthesia care
Monitored anaesthesia careMonitored anaesthesia care
Monitored anaesthesia care
 
Sedation analgesia in icu
Sedation analgesia in icuSedation analgesia in icu
Sedation analgesia in icu
 
Pre-Anesthetic Checkup
Pre-Anesthetic Checkup Pre-Anesthetic Checkup
Pre-Anesthetic Checkup
 
Premedication
PremedicationPremedication
Premedication
 
NON OPERATING ROOM ANAESTHESIA
NON OPERATING ROOM ANAESTHESIA NON OPERATING ROOM ANAESTHESIA
NON OPERATING ROOM ANAESTHESIA
 
ANAESTHESIA: INDUCTION, MAINTENACE & REVERSAL
ANAESTHESIA: INDUCTION, MAINTENACE & REVERSAL ANAESTHESIA: INDUCTION, MAINTENACE & REVERSAL
ANAESTHESIA: INDUCTION, MAINTENACE & REVERSAL
 
Preoperative Evaluation- Anaesthesia
Preoperative Evaluation- AnaesthesiaPreoperative Evaluation- Anaesthesia
Preoperative Evaluation- Anaesthesia
 
COMPLICATIONS OF SPINAL & EPIDURAL ANAESTHESIA
COMPLICATIONS OF SPINAL & EPIDURAL ANAESTHESIACOMPLICATIONS OF SPINAL & EPIDURAL ANAESTHESIA
COMPLICATIONS OF SPINAL & EPIDURAL ANAESTHESIA
 
Pre anaesthetic assessment and preoperative fasting guidelines
Pre anaesthetic assessment and preoperative fasting guidelinesPre anaesthetic assessment and preoperative fasting guidelines
Pre anaesthetic assessment and preoperative fasting guidelines
 
Introduction to Regional
Introduction to Regional	Introduction to Regional
Introduction to Regional
 
Ambulatory Anesthesia
Ambulatory AnesthesiaAmbulatory Anesthesia
Ambulatory Anesthesia
 
Monitoring in anaesthesia ro
Monitoring in anaesthesia roMonitoring in anaesthesia ro
Monitoring in anaesthesia ro
 
Conscious sedation - Introduction
Conscious sedation  - IntroductionConscious sedation  - Introduction
Conscious sedation - Introduction
 

Similar to Sedation

Conscious sedation course
Conscious sedation courseConscious sedation course
Conscious sedation courseMEEQAT HOSPITAL
 
role of anesthesiologist in cathlab
role of anesthesiologist in cathlabrole of anesthesiologist in cathlab
role of anesthesiologist in cathlabRamprasad NNR
 
Updated conscious sedation course.ppt
Updated conscious sedation course.pptUpdated conscious sedation course.ppt
Updated conscious sedation course.pptMEEQAT HOSPITAL
 
Rizk conscious-sedation
Rizk  conscious-sedationRizk  conscious-sedation
Rizk conscious-sedationrizkalazhary
 
Nitrous oxide inhalation sedation
Nitrous oxide inhalation sedationNitrous oxide inhalation sedation
Nitrous oxide inhalation sedationaravindhanarumugam1
 
Procedural sedation and analgesia
Procedural sedation and analgesiaProcedural sedation and analgesia
Procedural sedation and analgesiaSCGH ED CME
 
Conscious Sedation Basics and Introduction
Conscious Sedation Basics and IntroductionConscious Sedation Basics and Introduction
Conscious Sedation Basics and IntroductionHazem Sharaf
 
conscious sedation monitoring
conscious sedation monitoringconscious sedation monitoring
conscious sedation monitoringMoatez Abdella
 
Emergency Management of Local Anesthesia (Dentistry)
Emergency Management of Local Anesthesia (Dentistry)Emergency Management of Local Anesthesia (Dentistry)
Emergency Management of Local Anesthesia (Dentistry)Dr. Jasmine Singh
 
Medical Emergency Prevention and Preparedness
Medical Emergency Prevention and PreparednessMedical Emergency Prevention and Preparedness
Medical Emergency Prevention and PreparednessNeil Pande
 
Toxicology updates
Toxicology updatesToxicology updates
Toxicology updatestaem
 
Update tox 2010 june 2010 summon chomchai
Update tox 2010 june 2010 summon chomchaiUpdate tox 2010 june 2010 summon chomchai
Update tox 2010 june 2010 summon chomchaiAimmary
 
Anaesthetic considerations for intraoperative neurophysiological monitoring
Anaesthetic considerations for intraoperative neurophysiological monitoringAnaesthetic considerations for intraoperative neurophysiological monitoring
Anaesthetic considerations for intraoperative neurophysiological monitoringSamir Elkafrawy
 
Unit 4 emetics & antiemetics
Unit  4 emetics & antiemeticsUnit  4 emetics & antiemetics
Unit 4 emetics & antiemeticspriyankaVenkat4
 
MDA Response to a Mass Casualty Toxicological Accident
MDA Response to a Mass Casualty Toxicological AccidentMDA Response to a Mass Casualty Toxicological Accident
MDA Response to a Mass Casualty Toxicological AccidentGlobal Risk Forum GRFDavos
 
general and local anesthesia
general and local anesthesia general and local anesthesia
general and local anesthesia SONALPANDE5
 

Similar to Sedation (20)

Conscious sedation course
Conscious sedation courseConscious sedation course
Conscious sedation course
 
role of anesthesiologist in cathlab
role of anesthesiologist in cathlabrole of anesthesiologist in cathlab
role of anesthesiologist in cathlab
 
Updated conscious sedation course.ppt
Updated conscious sedation course.pptUpdated conscious sedation course.ppt
Updated conscious sedation course.ppt
 
Rizk conscious-sedation
Rizk  conscious-sedationRizk  conscious-sedation
Rizk conscious-sedation
 
Procedural sedation 1
Procedural sedation 1Procedural sedation 1
Procedural sedation 1
 
Nitrous oxide inhalation sedation
Nitrous oxide inhalation sedationNitrous oxide inhalation sedation
Nitrous oxide inhalation sedation
 
Procedural sedation and analgesia
Procedural sedation and analgesiaProcedural sedation and analgesia
Procedural sedation and analgesia
 
Conscious Sedation Basics and Introduction
Conscious Sedation Basics and IntroductionConscious Sedation Basics and Introduction
Conscious Sedation Basics and Introduction
 
conscious sedation monitoring
conscious sedation monitoringconscious sedation monitoring
conscious sedation monitoring
 
Open PSY EMERG 2.pdf
Open PSY EMERG 2.pdfOpen PSY EMERG 2.pdf
Open PSY EMERG 2.pdf
 
Emergency Management of Local Anesthesia (Dentistry)
Emergency Management of Local Anesthesia (Dentistry)Emergency Management of Local Anesthesia (Dentistry)
Emergency Management of Local Anesthesia (Dentistry)
 
Medical Emergency Prevention and Preparedness
Medical Emergency Prevention and PreparednessMedical Emergency Prevention and Preparedness
Medical Emergency Prevention and Preparedness
 
Toxicology updates
Toxicology updatesToxicology updates
Toxicology updates
 
Update tox 2010 june 2010 summon chomchai
Update tox 2010 june 2010 summon chomchaiUpdate tox 2010 june 2010 summon chomchai
Update tox 2010 june 2010 summon chomchai
 
Anaesthetic considerations for intraoperative neurophysiological monitoring
Anaesthetic considerations for intraoperative neurophysiological monitoringAnaesthetic considerations for intraoperative neurophysiological monitoring
Anaesthetic considerations for intraoperative neurophysiological monitoring
 
Procedural sedation and analgesia
Procedural sedation and analgesiaProcedural sedation and analgesia
Procedural sedation and analgesia
 
Unit 4 emetics & antiemetics
Unit  4 emetics & antiemeticsUnit  4 emetics & antiemetics
Unit 4 emetics & antiemetics
 
MDA Response to a Mass Casualty Toxicological Accident
MDA Response to a Mass Casualty Toxicological AccidentMDA Response to a Mass Casualty Toxicological Accident
MDA Response to a Mass Casualty Toxicological Accident
 
General anaesthesia, anindya
General anaesthesia, anindyaGeneral anaesthesia, anindya
General anaesthesia, anindya
 
general and local anesthesia
general and local anesthesia general and local anesthesia
general and local anesthesia
 

More from MEEQAT HOSPITAL

Blood Bank Lecture .pptx
Blood Bank Lecture .pptxBlood Bank Lecture .pptx
Blood Bank Lecture .pptxMEEQAT HOSPITAL
 
Sepsis and septic shock guidelines 2021. part 1
Sepsis and septic shock guidelines 2021. part 1Sepsis and septic shock guidelines 2021. part 1
Sepsis and septic shock guidelines 2021. part 1MEEQAT HOSPITAL
 
Sepsis hemodynamic update part two
Sepsis hemodynamic update      part twoSepsis hemodynamic update      part two
Sepsis hemodynamic update part twoMEEQAT HOSPITAL
 
sepsis SSC 2021 Updates Ventilation and additional therapy
sepsis SSC 2021 Updates Ventilation and additional therapysepsis SSC 2021 Updates Ventilation and additional therapy
sepsis SSC 2021 Updates Ventilation and additional therapyMEEQAT HOSPITAL
 
Surviving sepsis compaign (adults) Guidelines updates 2021. “Long Term Outcom...
Surviving sepsis compaign (adults)Guidelines updates 2021.“Long Term Outcom...Surviving sepsis compaign (adults)Guidelines updates 2021.“Long Term Outcom...
Surviving sepsis compaign (adults) Guidelines updates 2021. “Long Term Outcom...MEEQAT HOSPITAL
 
Medication error, nursing responsibility
Medication error, nursing responsibilityMedication error, nursing responsibility
Medication error, nursing responsibilityMEEQAT HOSPITAL
 
Continuous renal replacement therapy crrt
Continuous renal replacement therapy crrtContinuous renal replacement therapy crrt
Continuous renal replacement therapy crrtMEEQAT HOSPITAL
 
Deep venous thrombosis dvt
Deep venous thrombosis dvtDeep venous thrombosis dvt
Deep venous thrombosis dvtMEEQAT HOSPITAL
 
Chest intubation indications,precautions and management
Chest intubation indications,precautions and managementChest intubation indications,precautions and management
Chest intubation indications,precautions and managementMEEQAT HOSPITAL
 
Covid19 corona management -كوفيد19
Covid19 corona management -كوفيد19Covid19 corona management -كوفيد19
Covid19 corona management -كوفيد19MEEQAT HOSPITAL
 
Medical permission for patient
Medical permission for patientMedical permission for patient
Medical permission for patientMEEQAT HOSPITAL
 
Isolation precautions in hospitals covid19
Isolation precautions in hospitals covid19Isolation precautions in hospitals covid19
Isolation precautions in hospitals covid19MEEQAT HOSPITAL
 
Line tracing & line reconciliation
Line tracing & line reconciliationLine tracing & line reconciliation
Line tracing & line reconciliationMEEQAT HOSPITAL
 
Medication administration
Medication administrationMedication administration
Medication administrationMEEQAT HOSPITAL
 

More from MEEQAT HOSPITAL (20)

fatal asthma.pptx
fatal asthma.pptxfatal asthma.pptx
fatal asthma.pptx
 
Blood Bank Lecture .pptx
Blood Bank Lecture .pptxBlood Bank Lecture .pptx
Blood Bank Lecture .pptx
 
Post covid -19 syndrome
Post covid -19 syndromePost covid -19 syndrome
Post covid -19 syndrome
 
Sepsis and septic shock guidelines 2021. part 1
Sepsis and septic shock guidelines 2021. part 1Sepsis and septic shock guidelines 2021. part 1
Sepsis and septic shock guidelines 2021. part 1
 
Sepsis hemodynamic update part two
Sepsis hemodynamic update      part twoSepsis hemodynamic update      part two
Sepsis hemodynamic update part two
 
sepsis SSC 2021 Updates Ventilation and additional therapy
sepsis SSC 2021 Updates Ventilation and additional therapysepsis SSC 2021 Updates Ventilation and additional therapy
sepsis SSC 2021 Updates Ventilation and additional therapy
 
Sepsis scoring
Sepsis  scoringSepsis  scoring
Sepsis scoring
 
Surviving sepsis compaign (adults) Guidelines updates 2021. “Long Term Outcom...
Surviving sepsis compaign (adults)Guidelines updates 2021.“Long Term Outcom...Surviving sepsis compaign (adults)Guidelines updates 2021.“Long Term Outcom...
Surviving sepsis compaign (adults) Guidelines updates 2021. “Long Term Outcom...
 
Medication error, nursing responsibility
Medication error, nursing responsibilityMedication error, nursing responsibility
Medication error, nursing responsibility
 
Continuous renal replacement therapy crrt
Continuous renal replacement therapy crrtContinuous renal replacement therapy crrt
Continuous renal replacement therapy crrt
 
Deep venous thrombosis dvt
Deep venous thrombosis dvtDeep venous thrombosis dvt
Deep venous thrombosis dvt
 
Bed sore management
Bed sore managementBed sore management
Bed sore management
 
Chest intubation indications,precautions and management
Chest intubation indications,precautions and managementChest intubation indications,precautions and management
Chest intubation indications,precautions and management
 
Portable ventilator
Portable ventilatorPortable ventilator
Portable ventilator
 
Covid19 corona management -كوفيد19
Covid19 corona management -كوفيد19Covid19 corona management -كوفيد19
Covid19 corona management -كوفيد19
 
Electronic medica file
Electronic medica fileElectronic medica file
Electronic medica file
 
Medical permission for patient
Medical permission for patientMedical permission for patient
Medical permission for patient
 
Isolation precautions in hospitals covid19
Isolation precautions in hospitals covid19Isolation precautions in hospitals covid19
Isolation precautions in hospitals covid19
 
Line tracing & line reconciliation
Line tracing & line reconciliationLine tracing & line reconciliation
Line tracing & line reconciliation
 
Medication administration
Medication administrationMedication administration
Medication administration
 

Recently uploaded

Easter in the USA presentation by Chloe.
Easter in the USA presentation by Chloe.Easter in the USA presentation by Chloe.
Easter in the USA presentation by Chloe.EnglishCEIPdeSigeiro
 
Maximizing Impact_ Nonprofit Website Planning, Budgeting, and Design.pdf
Maximizing Impact_ Nonprofit Website Planning, Budgeting, and Design.pdfMaximizing Impact_ Nonprofit Website Planning, Budgeting, and Design.pdf
Maximizing Impact_ Nonprofit Website Planning, Budgeting, and Design.pdfTechSoup
 
3.21.24 The Origins of Black Power.pptx
3.21.24  The Origins of Black Power.pptx3.21.24  The Origins of Black Power.pptx
3.21.24 The Origins of Black Power.pptxmary850239
 
The basics of sentences session 10pptx.pptx
The basics of sentences session 10pptx.pptxThe basics of sentences session 10pptx.pptx
The basics of sentences session 10pptx.pptxheathfieldcps1
 
Education and training program in the hospital APR.pptx
Education and training program in the hospital APR.pptxEducation and training program in the hospital APR.pptx
Education and training program in the hospital APR.pptxraviapr7
 
How to Manage Cross-Selling in Odoo 17 Sales
How to Manage Cross-Selling in Odoo 17 SalesHow to Manage Cross-Selling in Odoo 17 Sales
How to Manage Cross-Selling in Odoo 17 SalesCeline George
 
P4C x ELT = P4ELT: Its Theoretical Background (Kanazawa, 2024 March).pdf
P4C x ELT = P4ELT: Its Theoretical Background (Kanazawa, 2024 March).pdfP4C x ELT = P4ELT: Its Theoretical Background (Kanazawa, 2024 March).pdf
P4C x ELT = P4ELT: Its Theoretical Background (Kanazawa, 2024 March).pdfYu Kanazawa / Osaka University
 
Benefits & Challenges of Inclusive Education
Benefits & Challenges of Inclusive EducationBenefits & Challenges of Inclusive Education
Benefits & Challenges of Inclusive EducationMJDuyan
 
Presentation on the Basics of Writing. Writing a Paragraph
Presentation on the Basics of Writing. Writing a ParagraphPresentation on the Basics of Writing. Writing a Paragraph
Presentation on the Basics of Writing. Writing a ParagraphNetziValdelomar1
 
AUDIENCE THEORY -- FANDOM -- JENKINS.pptx
AUDIENCE THEORY -- FANDOM -- JENKINS.pptxAUDIENCE THEORY -- FANDOM -- JENKINS.pptx
AUDIENCE THEORY -- FANDOM -- JENKINS.pptxiammrhaywood
 
DUST OF SNOW_BY ROBERT FROST_EDITED BY_ TANMOY MISHRA
DUST OF SNOW_BY ROBERT FROST_EDITED BY_ TANMOY MISHRADUST OF SNOW_BY ROBERT FROST_EDITED BY_ TANMOY MISHRA
DUST OF SNOW_BY ROBERT FROST_EDITED BY_ TANMOY MISHRATanmoy Mishra
 
How to Solve Singleton Error in the Odoo 17
How to Solve Singleton Error in the  Odoo 17How to Solve Singleton Error in the  Odoo 17
How to Solve Singleton Error in the Odoo 17Celine George
 
Clinical Pharmacy Introduction to Clinical Pharmacy, Concept of clinical pptx
Clinical Pharmacy  Introduction to Clinical Pharmacy, Concept of clinical pptxClinical Pharmacy  Introduction to Clinical Pharmacy, Concept of clinical pptx
Clinical Pharmacy Introduction to Clinical Pharmacy, Concept of clinical pptxraviapr7
 
Human-AI Co-Creation of Worked Examples for Programming Classes
Human-AI Co-Creation of Worked Examples for Programming ClassesHuman-AI Co-Creation of Worked Examples for Programming Classes
Human-AI Co-Creation of Worked Examples for Programming ClassesMohammad Hassany
 
Diploma in Nursing Admission Test Question Solution 2023.pdf
Diploma in Nursing Admission Test Question Solution 2023.pdfDiploma in Nursing Admission Test Question Solution 2023.pdf
Diploma in Nursing Admission Test Question Solution 2023.pdfMohonDas
 
Patterns of Written Texts Across Disciplines.pptx
Patterns of Written Texts Across Disciplines.pptxPatterns of Written Texts Across Disciplines.pptx
Patterns of Written Texts Across Disciplines.pptxMYDA ANGELICA SUAN
 
In - Vivo and In - Vitro Correlation.pptx
In - Vivo and In - Vitro Correlation.pptxIn - Vivo and In - Vitro Correlation.pptx
In - Vivo and In - Vitro Correlation.pptxAditiChauhan701637
 

Recently uploaded (20)

Easter in the USA presentation by Chloe.
Easter in the USA presentation by Chloe.Easter in the USA presentation by Chloe.
Easter in the USA presentation by Chloe.
 
Maximizing Impact_ Nonprofit Website Planning, Budgeting, and Design.pdf
Maximizing Impact_ Nonprofit Website Planning, Budgeting, and Design.pdfMaximizing Impact_ Nonprofit Website Planning, Budgeting, and Design.pdf
Maximizing Impact_ Nonprofit Website Planning, Budgeting, and Design.pdf
 
3.21.24 The Origins of Black Power.pptx
3.21.24  The Origins of Black Power.pptx3.21.24  The Origins of Black Power.pptx
3.21.24 The Origins of Black Power.pptx
 
The basics of sentences session 10pptx.pptx
The basics of sentences session 10pptx.pptxThe basics of sentences session 10pptx.pptx
The basics of sentences session 10pptx.pptx
 
Prelims of Kant get Marx 2.0: a general politics quiz
Prelims of Kant get Marx 2.0: a general politics quizPrelims of Kant get Marx 2.0: a general politics quiz
Prelims of Kant get Marx 2.0: a general politics quiz
 
Education and training program in the hospital APR.pptx
Education and training program in the hospital APR.pptxEducation and training program in the hospital APR.pptx
Education and training program in the hospital APR.pptx
 
How to Manage Cross-Selling in Odoo 17 Sales
How to Manage Cross-Selling in Odoo 17 SalesHow to Manage Cross-Selling in Odoo 17 Sales
How to Manage Cross-Selling in Odoo 17 Sales
 
P4C x ELT = P4ELT: Its Theoretical Background (Kanazawa, 2024 March).pdf
P4C x ELT = P4ELT: Its Theoretical Background (Kanazawa, 2024 March).pdfP4C x ELT = P4ELT: Its Theoretical Background (Kanazawa, 2024 March).pdf
P4C x ELT = P4ELT: Its Theoretical Background (Kanazawa, 2024 March).pdf
 
Personal Resilience in Project Management 2 - TV Edit 1a.pdf
Personal Resilience in Project Management 2 - TV Edit 1a.pdfPersonal Resilience in Project Management 2 - TV Edit 1a.pdf
Personal Resilience in Project Management 2 - TV Edit 1a.pdf
 
Benefits & Challenges of Inclusive Education
Benefits & Challenges of Inclusive EducationBenefits & Challenges of Inclusive Education
Benefits & Challenges of Inclusive Education
 
Presentation on the Basics of Writing. Writing a Paragraph
Presentation on the Basics of Writing. Writing a ParagraphPresentation on the Basics of Writing. Writing a Paragraph
Presentation on the Basics of Writing. Writing a Paragraph
 
Finals of Kant get Marx 2.0 : a general politics quiz
Finals of Kant get Marx 2.0 : a general politics quizFinals of Kant get Marx 2.0 : a general politics quiz
Finals of Kant get Marx 2.0 : a general politics quiz
 
AUDIENCE THEORY -- FANDOM -- JENKINS.pptx
AUDIENCE THEORY -- FANDOM -- JENKINS.pptxAUDIENCE THEORY -- FANDOM -- JENKINS.pptx
AUDIENCE THEORY -- FANDOM -- JENKINS.pptx
 
DUST OF SNOW_BY ROBERT FROST_EDITED BY_ TANMOY MISHRA
DUST OF SNOW_BY ROBERT FROST_EDITED BY_ TANMOY MISHRADUST OF SNOW_BY ROBERT FROST_EDITED BY_ TANMOY MISHRA
DUST OF SNOW_BY ROBERT FROST_EDITED BY_ TANMOY MISHRA
 
How to Solve Singleton Error in the Odoo 17
How to Solve Singleton Error in the  Odoo 17How to Solve Singleton Error in the  Odoo 17
How to Solve Singleton Error in the Odoo 17
 
Clinical Pharmacy Introduction to Clinical Pharmacy, Concept of clinical pptx
Clinical Pharmacy  Introduction to Clinical Pharmacy, Concept of clinical pptxClinical Pharmacy  Introduction to Clinical Pharmacy, Concept of clinical pptx
Clinical Pharmacy Introduction to Clinical Pharmacy, Concept of clinical pptx
 
Human-AI Co-Creation of Worked Examples for Programming Classes
Human-AI Co-Creation of Worked Examples for Programming ClassesHuman-AI Co-Creation of Worked Examples for Programming Classes
Human-AI Co-Creation of Worked Examples for Programming Classes
 
Diploma in Nursing Admission Test Question Solution 2023.pdf
Diploma in Nursing Admission Test Question Solution 2023.pdfDiploma in Nursing Admission Test Question Solution 2023.pdf
Diploma in Nursing Admission Test Question Solution 2023.pdf
 
Patterns of Written Texts Across Disciplines.pptx
Patterns of Written Texts Across Disciplines.pptxPatterns of Written Texts Across Disciplines.pptx
Patterns of Written Texts Across Disciplines.pptx
 
In - Vivo and In - Vitro Correlation.pptx
In - Vivo and In - Vitro Correlation.pptxIn - Vivo and In - Vitro Correlation.pptx
In - Vivo and In - Vitro Correlation.pptx
 

Sedation

  • 2. Hassan Mohamed Ali Associate professor of anesthesia and pain management, Anesthesia department, Cairo University. MB.B.ch, M Sc, M.D, FCAI, DESA Meeqat General Hospital, Madinah Munawarah
  • 6.  Definition :  The use of medications to minimally depress the level of consciousness in a patient while allowing the patient to continually and independently maintain a patent airway and respond to verbal commands and/or gentle stimulation.
  • 8.  1-glasgow coma scale  2-The Ramsay scale  3-Modified Ramsay Sedation Scale  4-University of Michigan Sedation Scale (UMSS)  5-. The Dartmouth Operative Conditions Scale (DOCS)
  • 9. Score Characteristics 0 Awake and alert 1 Minimally sedated: tired/sleepy, appropriate response to verbal conversation and/or sound 2 Moderately sedated: somnolent/sleeping, easily aroused with light tactile stimulation or a simple verbal command 3 Deeply sedated: deep sleep, arousable only with significant physical stimulation 4 Unarousable
  • 10.  It is used for a variety of diagnostic and surgical procedures especially:  endoscopy  closed reduction of fracture  radiologic procedures
  • 11.  Reassurance  Explanation  Drugs:  Benzodiazepines (Midazolam,lorazepam,diazepam)  Narcotics (Pethidine,fentanyl,morphine…etc)  Hypnotics (Chloral hydrate,propofol, Barbiturates)  Dexmedetomidine (precedex)  ketamine
  • 12.  Midazolam:  Dose: 1 to 2.5 mg slow IV every 2 minutes  Antidote: Flumazenil (Anexate)  Fentanyl  Dose:1g.kg-1  Antidote: Naloxone (Narcain)   N.B. :I.V, weight
  • 13.  Environment: • crush trolley • airway equipment • full monitoring • alarming system • Patient: • consent • History • Examination: airway, vitals
  • 14.  Equipment and monitoring:  oxygen supply  suction apparatus and catheter  airway equipment's  face mask  oral or nasopharyngeal airways  LMA  resuscitation bag  endotracheal tubes  laryngoscopes  resuscitative equipment and medications (crash cart)
  • 15.  Doctor or nurse beside the procedure all the times  O2 saturation  Vital signs checked (BP, pulse, respiratory)  Documentation
  • 16.  Failure  Pain  Over sedation(delayed recovery)  Airway obstruction  Vomiting  Hypotension  Arrhythmia  hypoxia
  • 17.  ACLS  ER  ICU  Anesthesia  WELL TRAINED PERSONNEL  Follow the policy
  • 18.  Appropriate alertness (brain)  Appropriate vital signs (heart)  Oxygen saturation above 92%on room air(lung)  Ambulation (if he/she ambulated before)(limbs)  No nausea or vomiting (stomach)
  • 19.