Generic placeholder image

Current Pharmaceutical Design

Editor-in-Chief

ISSN (Print): 1381-6128
ISSN (Online): 1873-4286

Review Article

Procedural (Conscious) Sedation and Analgesia in Emergency Setting: How to Choose Agents?

Author(s): Mustafa Ayan, Orhan Ozsoy, Sedat Ozbay, Canan Akman, Neslihan Ergun Suzer and Ozgur Karcioglu*

Volume 29, Issue 28, 2023

Published on: 04 October, 2023

Page: [2229 - 2238] Pages: 10

DOI: 10.2174/0113816128266852230927115656

Price: $65

conference banner
Abstract

Pain has long been defined as an unpleasant sensory and emotional experience originating from any region of the body in the presence or absence of tissue injury. Physicians involved in acute medicine commonly undertake a variety of invasive and painful procedures that prompt procedural sedation and analgesia (PSA), which is a condition sparing the protective airway reflexes while depressing the patient’s awareness of external stimuli. This state is achieved following obtaining the patient’s informed consent, necessary point-ofcare monitoring, and complete recording of the procedures. The most commonly employed combination for PSA mostly comprises short-acting benzodiazepine (midazolam) and a potent opioid, such as fentanyl. The biggest advantage of opioids is that despite all the powerful effects, upper airway reflexes are preserved and often do not require intervention. Choices of analgesic and sedative agents should be strictly individualized and determined for the specific condition. The objective of this review article was to underline the characteristics, effectiveness, adverse effects, and pitfalls of the relevant drugs employed in adults to facilitate PSA in emergency procedures.

Keywords: Pain management, analgesia, sedation, procedural sedation, conscious sedation, drug.


Rights & Permissions Print Cite
© 2024 Bentham Science Publishers | Privacy Policy