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Chapter 8 - Anesthesia Techniques: Mild, Moderate, and Deep Sedation in Clinical Practice

Published online by Cambridge University Press:  24 May 2023

By
Mark R. Jones ,
Boris C. Anyama ,
Chikezie N. Okeagu ,
Meredith K. Shaw ,
Madelyn K. Craig  and
Alan David Kaye
Edited by
Alan David Kaye  and
Richard D. Urman
Alan David Kaye
Affiliation:
Louisiana State University School of Medicine
Richard D. Urman
Affiliation:
Brigham and Women’s Hospital, Boston
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Summary

Selection of the anesthetic technique to be employed during a procedure begins during the preoperative evaluation with consideration of factors such as the patient’s comorbidities and preferences and the type of procedure to be performed. Oftentimes, general anesthesia is not necessary and the procedure can be performed under a lesser depth of sedation. Procedural sedation is a technique that allows the patient to tolerate the discomfort of a procedure while still maintaining cardiorespiratory function. In order to accomplish this, the anesthesia provider administers sedative, dissociative, and/or analgesic agents alone or in combination [1].

Type
Chapter
Information
Cambridge Handbook of Anesthesiology , pp. 119 - 130
Publisher: Cambridge University Press
Print publication year: 2023

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References

Whitlock, EL, Pardo, MC Jr. Choice of Anesthetic Technique, 7th ed. Philadelphia, PA: Elsevier; 2018.Google Scholar
American Society of Anesthesiologists. Continuum of depth of sedation: definition of general anesthesia and levels of sedation/analgesia. 2019. Available from: www.asahq.org/standards-and-guidelines/continuum-of-depth-of-sedation-definition-of-general-anesthesia-and-levels-of-sedationanalgesia.Google Scholar
American Society of Anesthesiologists. Statement on the anesthesia care team. 2019. Available from: www.asahq.org/-/media/sites/asahq/files/public/resources/standards-guidelines/statement-on-the-anesthesia-care-team.pdf?la=en&hash=9674E540AB92E575C1FD8AB9B48159F7656B9AEB.Google Scholar
Abenstein, JP, Warner, MA. Anesthesia providers, patient outcomes, and costs. Anesth Analg. 1996;82(6):1273–83.Google Scholar
Jones, TS, Fitzpatrick, JJ. CRNA – physician collaboration in anesthesia. AANA J. 2009;77(6):431–6.Google ScholarPubMed
American Society of Anesthesiologists. Statement on the anesthesia care team. 2019. Available from: www.asahq.org/standards-and-guidelines/statement-on-the-anesthesia-care-team.Google Scholar
Sun, EC, Miller, TR, Moshfegh, J, Baker, LC. Anesthesia care team composition and surgical outcomes. Anesthesiology. 2018;129(4):700–9. DOI: 10.1097/ALN.0000000000002275.CrossRefGoogle ScholarPubMed
Committee on Standards and Practice Parameters; Apfelbaum, JL, Connis, RT, Nickinovich, DG, American Society of Anesthesiologists Task Force on Preanesthesia Evaluation; Pasternak, LR, Arens, JF, Caplan, RA, et al. Practice advisory for preanesthesia evaluation. Anesthesiology. 2012;116(3):522–38. DOI: 10.1097/aln.0b013e31823c1067.Google Scholar
Okocha, O, Gerlach, RM, Sweitzer, BJ. Preoperative evaluation for ambulatory anesthesia: what, when, and how? Anesthesiol Clin. 2019;37(2):195–213. DOI: 10.1016/j.anclin.2019.01.014.Google Scholar
Bierle, DM, Raslau, D, Regan, DW, Sundsted, KK, Mauck, KF. Preoperative evaluation before noncardiac surgery. Mayo Clin Proc. 2020;95(4):807–22. DOI: 10.1016/j.mayocp.2019.04.029.CrossRefGoogle ScholarPubMed
American Society of Anesthesiologists. ASA physical status classification system. 2020. Available from: www.asahq.org/standards-and-guidelines/asa-physical-status-classification-system.Google Scholar
[No authors listed]. Practice guidelines for preoperative fasting and the use of pharmacologic agents to reduce the risk of pulmonary aspiration: application to healthy patients undergoing elective procedures. Anesthesiology. 2017;126(3):376–93. DOI: 10.1097/ALN.0000000000001452.Google Scholar
American Society of Anesthesiologists. Standards for basic anesthetic monitoring. 2020. Available from: www.asahq.org/standards-and-guidelines/standards-for-basic-anesthetic-monitoring.Google Scholar
Manohar, M, Gupta, B, Gupta, L. Closed-loop monitoring by anesthesiologists: a comprehensive approach to patient monitoring during anesthesia. Korean J Anesthesiol. 2018;71(5):417–18. DOI: 10.4097/kja.d.18.00033.CrossRefGoogle ScholarPubMed
Checketts, MR, Alladi, R, Ferguson, K, et al. Recommendations for standards of monitoring during anaesthesia and recovery 2015: Association of Anaesthetists of Great Britain and Ireland. Anaesthesia. 2016;71(1):85–93. DOI: 10.1111/anae.13316.Google Scholar
Association of Anaesthetists. Checking anaesthetic equipment. 2012. Available from: https://anaesthetists.org/Home/Resources-publications/Guidelines/Checking-Anaesthetic-Equipment.Google Scholar
Sessler, DI. Temperature monitoring and perioperative thermoregulation. Anesthesiology. 2008;109(2):318–38. DOI: 10.1097/ALN.0b013e31817f6d76.Google Scholar

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