Monitoring and delivery of sedation

摘要: Sedation for medical procedures is provided in a variety of clinical settings by personnel with differing levels education and training. Although generally safe practice, there degree morbidity mortality associated sedation practice. Monitoring standards continue to be refined professional societies the goal improving care. The depth should monitored criteria. Processed electroencephalographic monitors currently do not contribute significantly ventilation using pulse oximetry abandoned more direct methods, such as capnography-transcutaneous carbon dioxide, respiratory acoustical thoracic impedance monitoring could also play role. Propofol has become widely utilized sedation, although are concerns about its margin safety synergistic interactions other agents. Dexmedetomidine propofol/ketamine have utility. Patient-controlled pumps target-controlled infusion devices been developed improve patient care satisfaction. A computer-assisted propofol device used non-anaesthesiologists approved USA Food Drug Administration. More delivery likely developed, but their utility unclear.