2018CAS意见书_镇静程序.pdf

Can J Anesth/J Can Anesth /10.1007/s12630-018-1230-z SPECIAL ARTICLE Procedural sedation: a position paper of the Canadian Anesthesiologists’ Society Gregory Dobson, MD • Matthew A. Chong, MD • Lorraine Chow, MD • Alana Flexman, MD • Heather Hurdle, MD • Matthew Kurrek, MD • Claude Laflamme, MD • Michel-Antoine Perrault, MD • Kathryn Sparrow, MD • Shean Stacey, MD • Petrus A. Swart, MD • Michael Wong, MD Received: 30 July 2018 / Accepted: 30 July 2018 Canadian Anesthesiologists’ Society 2018 The Canadian Anesthesiologists’ Society (CAS) promotes minimizing cardiorespiratory depression of patients during safe anesthesia care to the highest possible standard. diagnostic and therapeutic procedures. These effects are Traditionally, this care was provided in operating rooms by distinct from both general anesthesia, which provides a anesthesiologists. Contemporary practice, however, state of total unconsciousness, and analgesia alone, which includes many other care locations and providers. delivers a reduction in or insensibility to pain, not Nevertheless, requirements for assessing the patient and necessarily with a reduction in or a loss of consciousness. managing the medical intervention are independent of Some use of analgesic medication is common for provider or location. procedural sedation. The larger doses necessary for very Procedural sedation is defined as the technique of safely painful procedures may be hazardous, however, and other administering short-acting sedative or dissociative agents, options may need to be considered, such as general with or without analgesics, to