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Outside back cover : "Millions of procedures requiring sedation are performed each year, covering a large array of medical specialties in both inpatient and outpatient settings. This tremendous growth has led to sedation being administered by a wide range of healthcare providers, including non-anesthesiologist physicians, nurses and nurse practitioners. Moderate and Deep Sedation in Clinical Practice is a concise, practical handbook for all medical and surgical professionals who sedate patients. This up-to-date, evidence-based 'how-to' manual instructs these professionals on how to evaluate patients, updates relevant pharmacology, and guides them on legal and quality assurance issues. It contains advice on sedation for specific populations, such as elderly, pediatric, ICU, emergency room, endoscopy, and reproductive technologies. Written and edited by experts in procedural sedation and sedation education, this book will help users develop safer techniques, policies, and procedures. It is essential reading for any healthcare provider administering moderate or deep sedation."

Conscious Sedation --- Deep Sedation

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This doctoral thesis by Benjamin Grossmann evaluates the safety and effectiveness of procedural sedation methods in medical settings. The research focuses on adult patient-controlled sedation (PCS) using propofol during endoscopic procedures such as endoscopic retrograde cholangiopancreatography (ERCP) and flexible bronchoscopy (FB), as well as the use of different doses of rectal racemic ketamine for pediatric burn wound care. The study employs clinical randomized controlled trials to gather data on vital functions, sedation levels, safety, patient-reported outcomes, and cost analysis. Results indicate that PCS with propofol is a safe and effective alternative to traditional intravenous sedation with midazolam, offering stable conditions and quicker recovery. The optimal dose of rectal racemic ketamine combined with midazolam is shown to be effective for pediatric patients, providing stable vital signs and rapid recovery.

Conscious sedation. --- Pediatric anesthesia. --- Conscious sedation --- Pediatric anesthesia

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Millions of procedures requiring sedation are performed each year, covering a large array of medical specialties in both inpatient and outpatient settings. This tremendous growth has led to sedation being administered by a wide range of healthcare providers, including non-anesthesiologist physicians, nurses and nurse practitioners. Moderate and Deep Sedation in Clinical Practice is a concise, practical handbook for all medical and surgical professionals who sedate patients. This up-to-date, evidence-based 'how-to' manual instructs these professionals on how to evaluate patients, updates relevant pharmacology, and guides them on legal and quality assurance issues. It contains advice on sedation for specific populations, such as elderly, pediatric, ICU, emergency room, endoscopy, and reproductive technologies. Written and edited by experts in procedural sedation and sedation education, this book will help users develop safer techniques, policies, and procedures. It is essential reading for any healthcare provider administering moderate or deep sedation.

Anesthesia --- Conscious sedation --- Sedatives --- Anesthesiology --- Anesthesiology.

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La sédation palliative est utilisée en dernier recours, en cas de symptômes physiques ou psychiques réfractaires. Les recommandations actuelles décrivent un processus décisionnel rigoureux. Les conditions préalables à la sédation doivent être analysées et remplies avant d’entamer l’information du patient, de l’équipe soignante et des proches. Dans la mesure du possible, le consentement libre et éclairé est indispensable à récolter. Les enjeux éthiques sont nombreux et nécessitent de respecter cette rigueur. Les débats concernent principalement la notion du double effet, les principes d’autonomie et de proportionnalité. Je m’interroge également sur d’autres aspects éthiques de cette alternative thérapeutique concernant la demande de sédation et le vécu des proches et des soignants. Ces considérations éthiques amènent à différencier la sédation, le protocole de détresse et l’euthanasie. Malgré les difficultés pratiques liées à la prise en charge d’une sédation palliative au domicile et de ses enjeux éthiques, la sédation palliative est pratiquée par 70 % des médecins interrogés lors du sondage. Le projet de ce travail est de mettre à jour les connaissances concernant la sédation palliative par une revue de la littérature. Le sondage permet d’illustrer la variété des pratiques, parfois éloignées des recommandations. Un arbre décisionnel est finalement proposé afin d’aider le médecin généraliste à choisir l’alternative thérapeutique la plus adaptée à la situation intolérable vécue par le patient.

Deep Sedation --- Conscious Sedation --- Palliative Care --- Acute Pain

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Anesthesia --- Conscious Sedation --- Hypnotics and Sedatives --- Conscious sedation. --- Sedatives. --- Anesthesia. --- Intravenous anesthesia. --- Sédation consciente --- Sédatifs --- Anesthésie --- Anesthésie intraveineuse --- methods. --- pharmacology.