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10.1136/emermed-2016-205767 http://scihub22266oqcxt.onion/10.1136/emermed-2016-205767 C5502244!5502244 !27797871     free     free     free Warning: file_get_contents(https://eutils.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&id=27797871 &cmd=llinks): Failed to open stream: HTTP request failed! 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Procedural sedation in the emergency department by Dutch emergency physicians: a prospective multicentre observational study of 1711 adults |pdf=|usr=}}{{27797871 }} gab.com Text Procedural sedation in the emergency department by Dutch emergency physicians: a prospective multicentre observational study of 1711 adults JO: Emerg Med J http://www.kidney.de/pget.php?&tw=1&pmid=27797871 #FOAvip OBJECTIVE: To describe our experience performing ED procedural sedation in a country where emergency medicine (EM) is a relatively new specialty. METHODS: This is a prospective observational study of adult patients undergoing procedural sedation by emergency physicians (EPs) or EM residents in eight hospitals in the Netherlands. Data were collected on a standardised form, including patient characteristics, sedative and analgesic used, procedural success, adverse events (classified according to World SIVA) and rescue interventions. RESULTS: 1711 adult cases were included from 2006 to 2013. Propofol, midazolam and esketamine (S+ enantiomer of ketamine) were the most used sedatives (63%, 29% and 8%). We had adverse event data on all patients. The overall adverse event rate was 11%, mostly hypoxia or apnoea. There was no difference in adverse event rate between EPs and EM residents. However, there was a significantly higher success rate of the procedure when EPs did the procedural sedation (92% vs 84%). No moderate (unplanned hospital admission or escalation of care) or sentinel SIVA outcomes occurred (pulmonary aspiration syndrome, death or permanent neurological deficit). CONCLUSION: Adverse events during procedural sedation occurred in 11% of patients. There were no moderate or sentinel outcomes. All events could be managed by the sedating physician. In a country where EM is a relatively new specialty, procedural sedation appears to be safe when performed by EPs or trained EM residents and has comparable adverse event rates to international studies. Twit Text FOAVip Procedural sedation in the emergency department by Dutch emergency physicians: a prospective multicentre observational study of 1711 adults ????Emerg Med J http://www.kidney.de/pget.php?&tw=1&pmid=27797871 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=27797871 #FOAvip English Wikipedia <ref>{{Cite pmid|27797871 }}</ref> Procedural sedation in the emergency department by Dutch emergency physicians: a prospective multicentre observational study of 1711 adults #MMPMID27797871 Smits GJ ; Kuypers MI ; Mignot LA ; Reijners EP ; Oskam E ; Van Doorn K ; Thijssen WA ; Korsten EH Emerg Med J 2017[Apr]; 34 (4 ): 237-242 PMID27797871 show ga OBJECTIVE: To describe our experience performing ED procedural sedation in a country where emergency medicine (EM) is a relatively new specialty. METHODS: This is a prospective observational study of adult patients undergoing procedural sedation by emergency physicians (EPs) or EM residents in eight hospitals in the Netherlands. Data were collected on a standardised form, including patient characteristics, sedative and analgesic used, procedural success, adverse events (classified according to World SIVA) and rescue interventions. RESULTS: 1711 adult cases were included from 2006 to 2013. Propofol, midazolam and esketamine (S+ enantiomer of ketamine) were the most used sedatives (63%, 29% and 8%). We had adverse event data on all patients. The overall adverse event rate was 11%, mostly hypoxia or apnoea. There was no difference in adverse event rate between EPs and EM residents. However, there was a significantly higher success rate of the procedure when EPs did the procedural sedation (92% vs 84%). No moderate (unplanned hospital admission or escalation of care) or sentinel SIVA outcomes occurred (pulmonary aspiration syndrome, death or permanent neurological deficit). CONCLUSION: Adverse events during procedural sedation occurred in 11% of patients. There were no moderate or sentinel outcomes. All events could be managed by the sedating physician. In a country where EM is a relatively new specialty, procedural sedation appears to be safe when performed by EPs or trained EM residents and has comparable adverse event rates to international studies. |*Treatment Outcome [MESH] |Adolescent [MESH] |Adult [MESH] |Aged [MESH] |Aged, 80 and over [MESH] |Analgesia/methods [MESH] |Clinical Competence/standards/statistics & numerical data [MESH] |Conscious Sedation/*methods/standards/statistics & numerical data [MESH] |Emergency Service, Hospital/organization & administration/statistics & numerical data [MESH] |Female [MESH] |Humans [MESH] |Hypnotics and Sedatives/pharmacology/*therapeutic use [MESH] |Ketamine/pharmacology/therapeutic use [MESH] |Male [MESH] |Midazolam/pharmacology/therapeutic use [MESH] |Middle Aged [MESH] |Netherlands [MESH] |Physicians/*standards/statistics & numerical data [MESH] |Propofol/pharmacology/therapeutic use [MESH] |Prospective Studies [MESH]Procedural sedation in the emergency department by Dutch emergency phy(epmc).pdf DeepDyve Pubget Overpricing