Key result
Careful preoperative assessment and attentive intraoperative monitoring can prevent significant untoward events during moderate and deep sedation, and specific protocols manage respiratory and cardiovascular complications.
Careful preoperative assessment and intraoperative monitoring are essential to prevent and manage respiratory and cardiovascular complications during moderate and deep sedation.
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Supports vigilant monitoring in sedation; leaves open need for prospective trials to guide protocols.
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.
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Becker et al. (2007) conducted a review in Complications during moderate and deep sedation. Management of respiratory and cardiovascular complications was evaluated. Careful preoperative assessment and attentive intraoperative monitoring can prevent significant untoward events during moderate and deep sedation, and specific protocols manage respiratory and cardiovascular complications.
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