Key result
This review outlines the classification, pre-procedural assessment, monitoring, agents, and potential complications associated with procedural sedation and analgesia in adults based on ASA guidelines.
This review summarizes current guidelines and practices for procedural sedation and analgesia in adults to ensure patient safety during interventional and diagnostic procedures.
Supports ASA-based sedation protocols for procedural safety; leaves open need for updated RCTs on agent selection.
Sedation and analgesia may be needed for many interventional or diagnostic procedures, whose number has grown exponentially lately. The American Society of Anesthesiologists introduced the term “procedural sedation and analgesia” (PSA) and clarified the terminology, moderate sedation and Monitored Anesthesia Care. This review tries to present a nondissociative sedation classification, following ASA guidelines as well as pre-procedural assessment and preparation, in order to choose the appropriate type and level of sedation, patient monitoring and agents, which are most commonly used for sedation and/or analgesia, along with their possible side effects. The paper also lists the possible complications associated with PSA and a few specific particularities of procedural sedation.
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Duţu et al. (2018) conducted a review in Procedural sedation and analgesia. Procedural sedation and analgesia was evaluated. This review outlines the classification, pre-procedural assessment, monitoring, agents, and potential complications associated with procedural sedation and analgesia in adults based on ASA guidelines.
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