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Review
. 2022 Jul;22(7):258-264.
doi: 10.1016/j.bjae.2022.02.006. Epub 2022 Apr 20.

Developments in procedural sedation for adults

Affiliations
Review

Developments in procedural sedation for adults

J R Sneyd. BJA Educ. 2022 Jul.
No abstract available

Keywords: capnography; midazolam; propofol; remimazolam; sedation.

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Conflict of interest statement

JRS acts as consultant and Advisory Board member for Paion and as consultant for Medtronic.

Figures

Fig. 1
Fig. 1
Combined bite block airway, oxygen delivery and capnography for patients undergoing upper gastrointestinal endoscopy. Separate small-bore tubes deliver oxygen and sample airway gases.
Fig. 2
Fig. 2
Algorithm linking risk stratification and fasting guidance. Notes: (1) Suggested definitions for moderate obesity are a BMI of 30–39 kg m−2 in adults or from the 85th up to the 95th BMI percentile based on age/sex in a child, and for severe obesity a BMI of 40 kg m−2 or higher in an adult or at the 95th percentile or greater in a child. (2) Includes micrognathia, macroglossia and laryngomalacia. (3) Includes gastroparesis, achalasia, atresia, stricture and tracheo-oesophageal fistula. (4) Includes ileus, pseudo-obstruction, pyloric stenosis and intussusception. (5) Clear liquids are generally considered to include water, fruit juices without pulp, clear tea, black coffee and specially prepared carbohydrate-containing fluids. (6) Fasting intervals are not absolute, with exceptions permissible when the volumes of oral intake are minor, or the fasting time reasonably close. Reproduced with permission from Green and colleagues, © 2019 John Wiley and Sons, Inc.

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