Management of complications during moderate and deep sedation: respiratory and cardiovascular considerations
- PMID: 17579505
- PMCID: PMC1893095
- DOI: 10.2344/0003-3006(2007)54[59:MOCDMA]2.0.CO;2
Management of complications during moderate and deep sedation: respiratory and cardiovascular considerations
Abstract
The risk for complications while providing moderate and deep sedation is greatest when caring for patients already medically compromised. It is reassuring that significant untoward events can generally be prevented by careful preoperative assessment, along with attentive intraoperative monitoring and support. Nevertheless, we must be prepared to manage untoward events should they arise. This continuing education article will review critical aspects of patient management of respiratory and cardiovascular complications.
Figures



Similar articles
-
Recognition and management of complications during moderate and deep sedation part 1: respiratory considerations.Anesth Prog. 2011 Summer;58(2):82-92. doi: 10.2344/0003-3006-58.2.82. Anesth Prog. 2011. PMID: 21679044 Free PMC article.
-
Recognition and management of complications during moderate and deep sedation. Part 2: cardiovascular considerations.Anesth Prog. 2011 Fall;58(3):126-38. doi: 10.2344/0003-3006-58.3.126. Anesth Prog. 2011. PMID: 21882989 Free PMC article.
-
Emergency drug kits: pharmacological and technical considerations.Anesth Prog. 2014 Winter;61(4):171-9. doi: 10.2344/0003-3006-61.4.171. Anesth Prog. 2014. PMID: 25517555 Free PMC article.
-
Postanesthetic complications.Surg Clin North Am. 1975 Aug;55(4):987-98. doi: 10.1016/s0039-6109(16)40696-1. Surg Clin North Am. 1975. PMID: 1101418 Review. No abstract available.
-
Cardiovascular considerations for the dental practitioner. 2. Management of cardiac emergencies.Gen Dent. 2018 Jan-Feb;66(1):49-53. Gen Dent. 2018. PMID: 29303759 Review.
Cited by
-
Procedural sedation and analgesia for respiratory-gated MR-HIFU in the liver: a feasibility study.J Ther Ultrasound. 2016 Jul 29;4:19. doi: 10.1186/s40349-016-0063-x. eCollection 2016. J Ther Ultrasound. 2016. PMID: 27478615 Free PMC article.
-
Diagnostic accuracy and safety of electromagnetic navigation transthoracic needle biopsy under moderate sedation for the diagnosis of peripheral pulmonary lesions.Transl Lung Cancer Res. 2023 Jul 31;12(7):1496-1505. doi: 10.21037/tlcr-23-111. Epub 2023 Jul 24. Transl Lung Cancer Res. 2023. PMID: 37577320 Free PMC article.
-
Midazolam versus Dexmedetomidine in Patients at Risk of Obstructive Sleep Apnea during Urology Procedures: A Randomized Controlled Trial.J Clin Med. 2022 Oct 2;11(19):5849. doi: 10.3390/jcm11195849. J Clin Med. 2022. PMID: 36233716 Free PMC article.
-
Fluoroscopy-guided intervertebral disc biopsy with a coaxial drill system.Skeletal Radiol. 2016 Feb;45(2):273-8. doi: 10.1007/s00256-015-2273-7. Epub 2015 Nov 16. Skeletal Radiol. 2016. PMID: 26572628
-
Postoperative recovery among head and neck cancer patients receiving microvascular free flap surgery with implementing nurse-protocolized targeted sedation: relationship of use of sedatives and mechanical ventilation to length of ICU stay.Support Care Cancer. 2023 May 3;31(5):317. doi: 10.1007/s00520-023-07730-6. Support Care Cancer. 2023. PMID: 37133641
References
-
- American Thoracic Society. Standards for the diagnosis and care of patients with chronic obstructive pulmonary disease (COPD) Am J Respir Crit Care Med. 1995;152:s77–s120. - PubMed
-
- Cairo JM, Pilbean SP. Mosby's Respiratory Care Equipment. 7th ed. Philadelphia, Pa: Mosby Inc; 2004. pp. 62–88.
-
- Reilly JJ, Silverman EK, Shapiro SD. Chronic obstructive pulmonary disease. In: Kasper DL, Braunwald E, Fauci AS, et al., editors. Harrison's Principles of Internal Medicine. 16th ed. New York, NY: McGraw Hill; 2005. pp. 1547–1554.
-
- Sampson HA, Munoz-Furlong A, Campbell RL, et al. Second symposium on the definition and management of anaphylaxis: summary report—second National Institute of Allergy and Infectious Disease/Food Allergy and Anaphylaxis Network symposium. Ann Emerg Med. 2006 Apr;47(4):373–380. - PubMed
-
- Hazinski MF, Chameides L, Hemphill R, editors. 2005 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation. 2005;112(24 suppl):IV1–IV196. eds. - PubMed