IV conscious sedation Flashcards
what are the indications for conscious sedation
anxiety
general health problems
NM problems
extensive procedures
why can patients be anxious
dental procedure
LA
clinical setting
needle phobic
blood
hospitals
why might we use iV sedation due to general health
in cases where it is indicated that the patient avoid stress and anxiety
in which conditions should the patients avoid stress and anxiety
moderate ischaemic heart disease
mild hypertension
asthma
epilepsy
what neuromuscular conditions can we do IV sedation in
excessive gag reflex
tremors such as Parkinson’s and cerebral palsy
what is the half life of midazolam
1.9+- 0.9 hours
what are contraindications for IV conscious sedation
severe respiratory disease
CVD
Pregnancy
children
metabolism can be unpredictable
personality disorders
poor veins
why do not do iv sedation in respiratory disease
Sedation depresses respiration
why do not do iv sedation in
pregnancy
→ Not advisable during pregnancy and breastfeeding but preferable to GA
→ If no other option, carry out In the 2nd trimester
→ Need to be aware of teratogenic effects
why do not do iv sedation in hepatic and liver function
due to unpredictable metabolism
why do not do iv sedation in excessive sub cut fat
due to poor veins
