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In medicine, specifically in end-of-life care, palliative sedation (also known as terminal sedation, continuous deep sedation, or sedation for intractable distress of a dying patient) is the palliative practice of relieving distress in a terminally ill person in the last hours or days of a dying person's life, usually by means of a continuous intravenous or subcutaneous infusion of a sedative ...
Deep sedation: You will likely be completely asleep for the entirety of the procedure thanks to propofol, a drug that is much less risky and easier to administer than general anesthetic.
The ADSA publishes a quarterly scientific journal of dental sedation and anesthesia-related articles named Anesthesia Progress: A Journal for Pain and Anxiety Control in Dentistry. Anesthesia Progress is the official journal of the American Dental Society of Anesthesiology and has been published quarterly since 1954. [ 2 ]
Procedural sedation and analgesia (PSA) is a technique in which a sedating/dissociative medication is given, usually along with an analgesic medication, in order to perform non-surgical procedures on a patient. The overall goal is to induce a decreased level of consciousness while maintaining the patient's ability to breathe on their own.
Sedation scales are used in medical situations in conjunction with a medical history in assessing the applicable degree of sedation in patients in order to avoid under-sedation (the patient risks experiencing pain or distress) and over-sedation (the patient risks side effects such as suppression of breathing, which might lead to death).
It is however mostly used in mechanically ventilated patients in order to avoid over and under-sedation. Obtaining a RASS score is the first step in administering the Confusion Assessment Method in the ICU (CAM-ICU), [4] a tool to detect delirium in intensive care unit patients. The RASS is one of many sedation scales used in medicine.
In deep sedation and general anesthesia, the patient may not exhibit any signs of consciousness and therefore be unresponsive to stimulation (pin prick, incision). General anesthesia requires a breathing tube and anesthesia team and is commonly only administered in the hospital setting (i.e. heart surgery) and is not generally used for dental ...
This level, called deep sedation/analgesia, causes a drug-induced depression of consciousness during which the patient cannot be easily aroused, but responds purposefully following repeated or painful stimulation. Ventilatory functions may be impaired, so breathing tubes are required.