Procedural Sedation (Riverland)

Prelearning for Procedural Sedation

Riverland Workshop: June 2018

Please note access to the prelearning is restricted to participants enrolled in the Riverland Workshop Training.

Procedural sedation describes the administration of drugs in a controlled setting to reduce pain and/or awareness. In the emergency department it is used for a wide variety of procedures, including laceration repair, reduction and immobilisation of fractures or dislocations, incision and drainage procedures, wound exploration and removal of foreign bodies from the eye, ear, nose and skin. Procedural sedation is most often used in healthy adults and children (>3 months) and those with mild well-controlled systemic disease (eg. asthma).

The sedative agents most commonly used for procedural sedation are Midazolam +/- Fentanyl, Propofol, Ketamine and Ketofol. This course examines the indications, contraindications for procedural sedation, assessment, monitoring and after care of the patient undergoing procedural sedation and examine in detail the common drugs used for procedural sedation.

This course explores the following topics:

1. Procedural Sedation: Core Principles

2. Intravenous Sedation using Midazolam/Fentanyl

3. Intravenous Sedation using Propofol

4. Sedation using Ketamine

5. Intranasal Sedation