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Preprocedural Assessment for Patients Anticipating Sedation

  • Preoperative Evaluation (BJ Sweitzer, Section Editor)
  • Published:
Current Anesthesiology Reports Aims and scope Submit manuscript

Abstract

Purpose of Review

The purpose of this review is to provide a summary of the recent literature addressing the aims, content, outcomes and quality metrics for presedation evaluation.

Recent Findings

There is a trend towards multidisciplinary development of minimum standards for sedation practice, including presedation assessment. A risk-based paradigm underpins presedation assessment. Improved and validated risk scores are required, especially to predict airway difficulty. There is an increasing focus on skillsets rather than roles. Clinicians should explain the intended depth of sedation, how that may be experienced by patients and how patient preferences for sedation can be incorporated into decision-making.

Summary

High-quality presedation evaluation will improve the value of sedation care by aligning appropriate resources (including sedation provider), based on patient risk, and also by improving communication and decision-making.

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Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

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Authors and Affiliations

  1. UNSW Rural Clinical School, Coffs Harbour, Australia

    Joanna R. Sutherland

  2. Peter Munk Cardiac Centre, University Health Network, Toronto, Canada

    Aaron Conway

  3. Lawrence S. Bloomberg Faculty of Nursing, University of Toronto, Toronto, Canada

    Aaron Conway

  4. School of Nursing, Queensland University of Technology, Brisbane, Australia

    Aaron Conway

  5. Westmead Hospital, Westmead, Australia

    Erica L. Sanderson

Authors
  1. Joanna R. Sutherland
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  2. Aaron Conway
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  3. Erica L. Sanderson
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Corresponding author

Correspondence to Joanna R. Sutherland.

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Conflict of Interest

Joanna R. Sutherland served as Chair of the working party that developed the Minimum Standards for safe procedural sedation, NSW Agency for Clinical Innovation, which is quoted within this article.

Aaron Conway declares that he has no conflict of interest.

Erica L. Sanderson declares that she has no conflict of interest.

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All reported studies or experiments with human or animal subjects performed by the authors have been previously published and complied with all applicable ethical standards (including the Helsinki declaration and its amendments, institutional/national research committee standards and international/national/institutional guidelines.

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Sutherland, J.R., Conway, A. & Sanderson, E.L. Preprocedural Assessment for Patients Anticipating Sedation. Curr Anesthesiol Rep 10, 35–42 (2020). https://doi.org/10.1007/s40140-020-00368-8

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