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psnet.ahrq.gov/node/45139/psn-pdf
May 25, 2016 - 2nd-death
https://psnet.ahrq.gov/issue/analysis-adverse-events-associated-adult-moderate-procedural-sedation-outside-operating-room
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psnet.ahrq.gov/node/49676/psn-pdf
February 01, 2013 - Opioids have a number of adverse
effects, including pruritus, bradypnea, hypoxia, nausea, vomiting, sedation … permanently harmed pertains to the presence of snoring respiration—a finding that suggests deeper
sedation … Sedation generally precedes respiratory depression. … Assess and record vital signs (including depth of
respiration), pain, and sedation.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/115-daily-goals-icu-checklist.docx
October 01, 2024 - . _____________________________
Insert text
Neurologic
Pain management/sedation (held to follow … · Pain goal _____ / 10 with _____
· Richmond Agitation Sedation Scale (RASS) goal:
____
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/guides/resphys-champions-pocketgd.pdf
June 02, 2025 - Evaluate for sedation vacation and
weaning trials for patients on
mechanical ventilation DAILY
2.
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psnet.ahrq.gov/web-mm/fire-hole-or-fire
August 03, 2017 - Approximately 83% of the fires occurred during sedation for sedation procedures with use of supplemental … increase as oxygen concentration increases.( 9 ) Not all patients require supplemental oxygen during sedation … If heavy sedation with supplemental oxygen is required, the ASA advisory recommends general anesthesia … If supplemental oxygen is required during deep sedation, consider use of an endotracheal tube or laryngeal
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psnet.ahrq.gov/web-mm/good-nights-sleep-gone-wrong
September 01, 2015 - Common adverse effects of sleep aids include residual daytime sedation leading to increased risk for … delayed administration time (i.e., administration after 11 PM) may increase the risk of residual daytime sedation … sleep aids may help to avoid inappropriate administration time and decrease risk of residual daytime sedation … Older patients are at an increased risk for adverse effects and poor outcomes, such as residual daytime sedation
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psnet.ahrq.gov/node/45251/psn-pdf
August 24, 2016 - people-blinded-what-went-wrong
https://psnet.ahrq.gov/issue/analysis-adverse-events-associated-adult-moderate-procedural-sedation-outside-operating-room
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www.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide5/ap1.html
August 01, 2022 - children who has presented to the hospital's GI suite to undergo a procedure under moderate [procedural] sedation … approximately 7 minutes during which she may not have been breathing adequately, possibly from too much sedation
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psnet.ahrq.gov/node/47064/psn-pdf
August 22, 2018 - administrative-issues-ensure-safe-anesthesia-care-office-based-setting
https://psnet.ahrq.gov/issue/analysis-adverse-events-associated-adult-moderate-procedural-sedation-outside-operating-room
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psnet.ahrq.gov/node/867442/psn-pdf
January 08, 2025 - measures were: (1) availability of equipment to administer oxygen to
all patients requiring procedural sedation
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psnet.ahrq.gov/node/49517/psn-pdf
August 01, 2006 - another.(1,2) As in
this case, somnolence often precedes hypoventilation; thus, vigilant monitoring for sedation … (20 mg of
oxycodone per mL).(6) Inappropriate use of promethazine or hydroxyzine may contribute to sedation … Sedation typically precedes respiratory depression; thus, monitoring for sedation should be a routine
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psnet.ahrq.gov/web-mm/dnr-or-and-afterwards
July 01, 2003 - Commentary When a patient with a “do not resuscitate” (DNR) order undergoes surgery or conscious sedation … unlikely to be achieved.( 4 ) Similar issues arise when a patient with a DNR order undergoes conscious sedation … of the wide range of situations in which patients with DNR orders undergo anesthesia and conscious sedation … Take-Home Points When a patient with a DNR order undergoes anesthesia or conscious sedation, the
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psnet.ahrq.gov/node/46861/psn-pdf
February 28, 2018 - special-k-no-license-kill-accidental-ketamine-overdose-induction-general-anesthesia
https://psnet.ahrq.gov/issue/patient-safety-during-sedation-anesthesia-professionals-during-routine-upper-endoscopy-and
-
psnet.ahrq.gov/sites/default/files/2024-07/spotlight_case_intraoperative_awareness_during_rhinoplasty_slides_final.pptx
January 01, 2024 - surgeon should stop cutting or manipulating tissue, and give anesthesia staff the opportunity to deepen sedation … The patient should be told they will receive additional sedation as soon as it is safe. … medications, the patient may not remember that the anesthetic plan involved a spinal anesthetic with minimal sedation
-
www.ahrq.gov/hai/cauti-tools/phys-championsgd/pocketguide.html
December 01, 2017 - them ASAP
Remove emergently placed lines within 24 hours
Mechanical Ventilation
Evaluate for sedation
-
psnet.ahrq.gov/node/49689/psn-pdf
August 21, 2013 - a
post-anesthesia care unit [PACU]) for 3 hours after last narcotic dose to evaluate for potential sedation … points) should have been handled a bit differently,
particularly with multiple risk factors for over-sedation … Characteristics of patients at higher risk of over sedation and respiratory depression.
-
psnet.ahrq.gov/node/846169/psn-pdf
March 15, 2023 - The team administering the sedation and
anesthesia must be vigilant and competent to rapidly diagnose … A capnograph should be available in any location where patients receive sedation because it is
an excellent … Ensure that staff administering sedation are able to recognize and treat laryngospasm
Vigilant monitoring … Laryngospasm may occur during monitored anesthesia care (MAC) and all staff administering sedation,
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psnet.ahrq.gov/curated-library/opioid-stewardship
December 15, 2024 - patients undergoing surgical procedures who received perioperative opioid analgesics to aid in pain and sedation … suggestions for optimal management of patients who are administered opioid therapy, including standardized sedation
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psnet.ahrq.gov/web-mm/distraction-anesthesiologist-and-lack-resuscitation-drugs-resulting-delayed-treatment
January 29, 2021 - The team administering the sedation and anesthesia must be vigilant and competent to rapidly diagnose … A capnograph should be available in any location where patients receive sedation because it is an excellent … Ensure that staff administering sedation are able to recognize and treat laryngospasm
Vigilant monitoring … Laryngospasm may occur during monitored anesthesia care (MAC) and all staff administering sedation, irrespective
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psnet.ahrq.gov/web-mm/death-pca
January 06, 2017 - Opioids have a number of adverse effects, including pruritus, bradypnea, hypoxia, nausea, vomiting, sedation … was permanently harmed pertains to the presence of snoring respiration—a finding that suggests deeper sedation … Sedation generally precedes respiratory depression. … Assess and record vital signs (including depth of respiration), pain, and sedation.