Procedural Sedation

Question 1

Minimal level of monitoring required (3m)

Answer 1

EtCO2 - CO2 capnography
Pulse Oximetry
NIBP - 5 minly
Cardiac monitoring

Question 2

Risks of Procedural Sedation

Answer 2

Hypotension
Apnoea
Desaturation
Drug toxicity/adverse reaction
Laryngospasm

Question 3

Fasting principles

Answer 3

2 hrs clear fluid (ASA 1,2), traditionally 6 hrs.
Paeds N2O - 2 hrs solids & liquids
IV - 6 hrs solds, 4 hrs breast feed, 2 hrs clear fluid

Question 4

Indications for Capnography

Answer 4

Non invasive monitor of EtCO2
Monitor ventilation/apnoea
Monitor effectiveness of CPR
Confirm ETT placement
Detect: circuit disconnection, air embolism