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Swiss recommendations for non-anaesthesiologist administered procedural sedation and analgesia in adults


Zalunardo, Marco P; Krayer, Sebastian; Hartmeier, Stefan; Bauerfeind, Peter; Walder, Bernard; von Garnier, Christophe; Ehmann, Tobias; Ammann, Peter; Weilenmann, Daniel; Jacob, Ludwig A; Franzen, Daniel P (2019). Swiss recommendations for non-anaesthesiologist administered procedural sedation and analgesia in adults. Cardiovascular Medicine:w02035.

Abstract

Various specialists use sedation and analgesia for their interventions without the presence of an anaesthesiologist. Therefore, the need for professional recommendations is obvious. The Swiss recommendations were first published in 2016. In contrast to other guidelines, especially those published by the European Society of Anaesthesiology, the Swiss recommendations were developed in close cooperation with other relevant societies that practise procedural sedation and analgesia in adults. The Swiss recommendations were approved by the members of the Swiss Society of Anaesthesiology and Reanimation, the Swiss Society of Gastroenterology and Hepatology, the Swiss Society of Pulmonology, the Swiss Society of Cardiology and the Swiss Society of Vascular and Interventional Radiology. In this way, maximum acceptance and practicability were achieved. Unlike in other recommendations, for example the American Society of Anesthesiology guidelines, the most critical points such as how to deal with deep sedation and who is allowed to perform have been extensively discussed in the Swiss working group and are also addressed in the Swiss recommendations.

The key points of the Swiss recommendations are multidisciplinary acceptance, advanced preoperative evaluation and selection of patients, clear safety recommendations and minimal requirements regarding monitoring, documentation and staff.

Abstract

Various specialists use sedation and analgesia for their interventions without the presence of an anaesthesiologist. Therefore, the need for professional recommendations is obvious. The Swiss recommendations were first published in 2016. In contrast to other guidelines, especially those published by the European Society of Anaesthesiology, the Swiss recommendations were developed in close cooperation with other relevant societies that practise procedural sedation and analgesia in adults. The Swiss recommendations were approved by the members of the Swiss Society of Anaesthesiology and Reanimation, the Swiss Society of Gastroenterology and Hepatology, the Swiss Society of Pulmonology, the Swiss Society of Cardiology and the Swiss Society of Vascular and Interventional Radiology. In this way, maximum acceptance and practicability were achieved. Unlike in other recommendations, for example the American Society of Anesthesiology guidelines, the most critical points such as how to deal with deep sedation and who is allowed to perform have been extensively discussed in the Swiss working group and are also addressed in the Swiss recommendations.

The key points of the Swiss recommendations are multidisciplinary acceptance, advanced preoperative evaluation and selection of patients, clear safety recommendations and minimal requirements regarding monitoring, documentation and staff.

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Additional indexing

Item Type:Journal Article, refereed, further contribution
Communities & Collections:04 Faculty of Medicine > University Hospital Zurich > Clinic for Pneumology
04 Faculty of Medicine > University Hospital Zurich > Institute of Anesthesiology
Dewey Decimal Classification:610 Medicine & health
Language:English
Date:18 August 2019
Deposited On:14 Jan 2020 12:08
Last Modified:17 Jan 2020 11:54
Publisher:EMH Swiss Medical Publishers
ISSN:1664-204X
OA Status:Green
Publisher DOI:https://doi.org/10.4414/cvm.2019.02035

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