Skip to main content

Procedural Sedation and Analgesia in Radiology

  • Chapter
  • First Online:
Advanced Practice and Leadership in Radiology Nursing

Abstract

Procedural sedation is an integral part of treatment in radiology and imaging settings. Its use has been fueled by increasing procedural complexities, advancing technologies, and patient comorbidities. It is imperative that advanced practice providers and leaders in these departments become intimately familiar with the processes that are necessary in providing sedation outside of operating room. These processes include patient selection, preprocedural assessments, minimal monitoring requirements, pharmacology, and training. A comprehensive understanding of these practices will ensure a safe and effective procedural sedation practice.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

eBook
USD 16.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 69.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Practice Guidelines for Moderate Procedural Sedation andAnalgesia 2018: A Report by the American Society of Anesthesiologists Task Force on Moderate Procedural Sedation and Analgesia, the American Association of Oral and Maxillofacial Surgeons, American College of Radiology, American Dental Association, American Society of Dentist Anesthesiologists, and Society of Interventional Radiology. Anesthesiology. 2018;128(3):437–79.

    Google Scholar 

  2. Hackett NJ, De Oliveira GS, Jain UK, Kim JYS. ASA class is a reliable independent predictor of medical complications and mortality following surgery. Int J Surg. 2015;18:184–90.

    Article  Google Scholar 

  3. Green SM, Roback MG. Is the Mallampati score useful for emergency department airway management or procedural sedation? Ann Emerg Med. 2019;74(2):251–9. https://doi.org/10.1016/j.annemergmed.2018.12.021.

    Article  PubMed  Google Scholar 

  4. Nørskov AK, Rosenstock CV, Wetterslev J, Astrup G, Afshari A, Lundstrøm LH. Diagnostic accuracy of anaesthesiologists’ prediction of difficult airway management in daily clinical practice: a cohort study of 188 064 patients registered in the Danish Anaesthesia Database. Anaesthesia. 2015;70(3):272–81. https://doi.org/10.1111/anae.12955.

    Article  PubMed  Google Scholar 

  5. Saunders R, Struys MMRF, Pollock RF, Mestek M, Lightdale JR. Patient safety during procedural sedation using capnography monitoring: a systematic review and meta-analysis. BMJ Open. 2017;7(6):e013402. https://doi.org/10.1136/bmjopen-2016-013402.

    Article  PubMed  PubMed Central  Google Scholar 

  6. ACR/SIR Practice Parameter for Sedation and Analgesia. 2015. https://www.acr.org/-/media/acr/files/practice-parameters/sed-analgesia.pdf. Accessed 3 May 2019.

  7. Baerlocher MO, Kennedy SA, Ward TJ, Nikolic B, Bakal CW, Lewis CA, et al. Society of Interventional Radiology position statement: staffing guidelines for the interventional radiology suite. J Vasc Interv Radiol. 2016;27(5):618–22. https://doi.org/10.1016/j.jvir.2016.02.010.

  8. Pella L, Lambert C, McArthur B, West C, Hernandez M, Green K, et al. Systematic review to develop the clinical practice guideline for the use of capnography during procedural sedation in radiology and imaging settings: a report of the Association for Radiologic & Imaging Nursing capnography task force. J Radiol Nurs. 2018;37(3):163–72.

    Google Scholar 

  9. CMS Provider Certification. 2011. https://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/downloads/R74SOMA.pdf. Accessed 3 May 2019.

  10. Crego N. Procedural sedation practice: a review of current nursing standards. J Nurs Regul. 2015;6(1):50–6.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2020 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Long, M.J., Stewart, L.E. (2020). Procedural Sedation and Analgesia in Radiology. In: Gross, K. (eds) Advanced Practice and Leadership in Radiology Nursing. Springer, Cham. https://doi.org/10.1007/978-3-030-32679-1_7

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-32679-1_7

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-32678-4

  • Online ISBN: 978-3-030-32679-1

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics