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dc.contributor.authorFurniss, SS
dc.contributor.authorSneyd, JR
dc.date.accessioned2015-07-28T12:46:19Z
dc.date.available2015-07-28T12:46:19Z
dc.date.issued2015-10-01
dc.identifier.issn1355-6037
dc.identifier.issn1468-201X
dc.identifier.urihttp://hdl.handle.net/10026.1/3467
dc.descriptionFile replaced (incorrect version) on 18/7/22 by KT (LDS) (1.4)
dc.description.abstract

Safe sedation is fundamental to many modern cardiological procedures, and following the publication of the report on safe sedation by the Academy of Medical Royal Colleges, this report discusses sedation specifically in cardiological practice. The major areas within cardiology that use sedation are cardioversion, catheter ablation particularly of atrial fibrillation, transoesophageal echocardiography, implantable device (cardiovascular implantable electronic device) procedures and other procedures such as transcatheter aortic valve replacement. There is increasing demand for cardiological sedation but there is wide geographical variation in its use and there are also growing data to support non-anaesthetists giving sedation. The use of benzodiazepines, particularly for short procedures, is common, but even here good record-keeping and audit together with an understanding of the continuum of sedation and having appropriately trained staff and the necessary facilities are vital. Nurse administration of propofol may be appropriate for some procedures in cardiology that require at least moderate sedation. Appropriate training is essential and the use of capnography and target controlled infusion pumps for propofol administration is recommended.

dc.format.extent1526-1530
dc.format.mediumPrint-Electronic
dc.languageen
dc.language.isoeng
dc.publisherBMJ
dc.subjectAnesthesia Department, Hospital
dc.subjectCardiology
dc.subjectConscious Sedation
dc.subjectDeep Sedation
dc.subjectGuideline Adherence
dc.subjectHumans
dc.subjectHypnotics and Sedatives
dc.subjectNurse Anesthetists
dc.subjectPatient Safety
dc.subjectPatient Selection
dc.subjectPractice Guidelines as Topic
dc.subjectPractice Patterns, Physicians'
dc.subjectRisk Assessment
dc.subjectRisk Factors
dc.titleSafe sedation in modern cardiological practice
dc.typejournal-article
dc.typeReview
plymouth.author-urlhttps://www.ncbi.nlm.nih.gov/pubmed/26085525
plymouth.issue19
plymouth.volume101
plymouth.publisher-urlhttp://dx.doi.org/10.1136/heartjnl-2015-307656
plymouth.publication-statusPublished
plymouth.journalHeart
dc.identifier.doi10.1136/heartjnl-2015-307656
plymouth.organisational-group/Plymouth
plymouth.organisational-group/Plymouth/Faculty of Health
plymouth.organisational-group/Plymouth/Users by role
dc.publisher.placeEngland
dcterms.dateAccepted2015-05-28
dc.identifier.eissn1468-201X
dc.rights.embargoperiodNot known
rioxxterms.versionofrecord10.1136/heartjnl-2015-307656
rioxxterms.licenseref.urihttp://www.rioxx.net/licenses/all-rights-reserved
rioxxterms.licenseref.startdate2015-10
rioxxterms.typeJournal Article/Review


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