Procedural Sedation
| Level |
Direction |
Primary Outcome |
Patient/Process |
Setting |
Reference |
|
I
|
Supportive (Green)
|
Sedation time
|
Process
|
|
Nejati A., Moharari RS., Ashraf H., Labaf A., Golshani K. Ketamine/propofol versus midazolam/fentanyl for procedural sedation and analgesia in the emergency department: A randomized, prospective, double-blind trial. Acad Emerg Med 2011; 18(8):800-6. Medline
|
|
I
|
Neutral (Yellow)
|
Adverse events
|
Patient
|
ED-MD
|
Cevik E., Bilgic S., Kilic E., Cinar O., Hasman H., Acar AY., et al. Comparison of ketamine-low-dose midozolam with midazolam-fentanyl for orthopedic emergencies: a double-blind randomized trial. Am J Emerg Med 2013; 31(1):108-13. Medline
|
|
II
|
Supportive (Green)
|
Propofol for procedural sedation pre-hospitally
|
Patient
|
Other
|
van Vliet R, Breedveld L, Heutinck AAJ, Ockeloen BHA, van ' Hof AWJ, Moors XRJ. Procedural sedation by advanced practice providers in the emergency medical service in the Netherlands: a retrospective study. Scand J Trauma Resusc Emerg Med May 2024; 32(1):39. Medline
|
|
II
|
Neutral (Yellow)
|
Procedural pain intensity
|
Process
|
PH-Paramedic & MD
|
Galinski M., Hoffman L., Bregeaud D., Kamboua M., Ageron FX., Rouanet C., et al. Procedural Sedation and Analgesia in Trauma Patients in an Out-of-Hospital Emergency Setting A Prospective Multicenter Observational Study. PEC 2018; 22(4) 497-505. Medline
|
|
II
|
Neutral (Yellow)
|
Pain score reduction
|
Patient
|
|
Jamal SM., Fathil SM., Nidzwani MM., Ismail AK., Yatim FM. Intravenous ketamine is as effective as midazolam/fentanyl for procedural sedation and analgesia in the emergency department. Med J Malaysia. 2011; 66(3):231-3. Medline
|
|
III
|
Supportive (Green)
|
Pain and anxiety
|
Patient
|
|
Hoeffe J., Doyon TE., Bailey B., et al. Intranasal fentanyl and inhaled nitrous oxide for fracture reduction: The FAN observational study. Am J Emerg Med 2017; 35(5):710-5. Medline
|