moderate sedation


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moderate sedation

the administration of central nervous system depressant drugs and/or analgesics to provide analgesia, relieve anxiety, and/or provide amnesia during surgical, diagnostic, or interventional procedures. Consciousness is depressed, and the patient may fall asleep but is not unresponsive. Oversedation or an adverse patient response to sedation may result in life-threatening complications such as hypotension, loss of airway reflexes, inability to maintain a patent airway, hypoventilation, apnea, or agitation and movement at a critical point in the procedure. Anesthetic monitoring during conscious sedation includes at a minimum monitoring of blood pressure, electrocardiography, and pulse oximetry. See also anesthesia, awake anesthesia.
A minimally depressed level of consciousness induced by the administration of pharmacologic agents in which a patient retains the ability to independently and continuously maintain an open airway and a regular breathing pattern, and to respond appropriately and rationally to physical stimulation and verbal commands. Conscious sedation may be induced by parenteral or oral medications or combination thereof

moderate sedation

A medically controlled depressed state of consciousness in which patients can maintain an open airway and protective airway reflexes; respond appropriately when stimulated physically or verbally; and spontaneously maintain a stable heart rate and blood pressure.
See also: sedation
References in periodicals archive ?
Moderate sedation is routinely used in this age group.
This study evaluated the ability of the SEDline monitor in providing a reliable indicator, the PSI, of cortex function that may be used to increase the safety and effectiveness of light to moderate sedation.
Aetna has always covered moderate sedation for routine colonoscopies and endoscopies, and that the company's member data confirms there is no relationship between improved screening rates and the use of monitored anesthesia care.
In order to be permitted to administer moderate sedation both the qualifying nurse and supervising medical practitioners must maintain current advanced cardiac life support certification or pediatric advanced life support certification as appropriate to the age of the patient.
There is a need for new agents for moderate sedation that offer an alternative to existing agents.
Allen continued, "During our visits to Capitol Hill, we will call upon CMS to delay final review of upper endoscopy codes and interim final review of lower endoscopy codes until CMS issues concerning moderate sedation and intensity of service are more fully considered using the new transparency process proposed by CMS.
A value of 0-40 is considered to reflect a deep hypnotic state, 40-60 general anaesthesia, 70 deep sedation, 80-90 light to moderate sedation and 100 is an awake state (10).
requiring moderate sedation, Aquavan may address a significant market opportunity," said Lonnie Moulder, President and Chief Executive Officer of MGI PHARMA.
We also monitor end tidal CO2 on patients that are receiving Propofol for moderate sedation.
Both hospitals developed evidence-based protocols to improve medication safety precautions for administration of Propofol, a short-acting general anesthetic agent used for moderate sedation of patients on mechanical ventilation in critical care units.
Waismann Method achieves rapid detoxification using moderate sedation, avoiding general anesthesia and its associated risks.
Aquavan (fospropofol disodium) Injection, a water soluble prodrug formulation of propofol, is a product candidate in development for minimal to moderate sedation of patients undergoing short surgical or diagnostic procedures.

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