Procedural sedation: a position paper of the Canadian Anesthesiologists’ Society

  • Gregory DobsonEmail author
  • Matthew A. Chong
  • Lorraine Chow
  • Alana Flexman
  • Heather Hurdle
  • Matthew Kurrek
  • Claude Laflamme
  • Michel-Antoine Perrault
  • Kathryn Sparrow
  • Shean Stacey
  • Petrus A. Swart
  • Michael Wong
Special Article

The Canadian Anesthesiologists’ Society (CAS) promotes safe anesthesia care to the highest possible standard. Traditionally, this care was provided in operating rooms by anesthesiologists. Contemporary practice, however, includes many other care locations and providers. Nevertheless, requirements for assessing the patient and managing the medical intervention are independent of provider or location.

Procedural sedation is defined as the technique of safely administering short-acting sedative or dissociative agents, with or without analgesics, to reduce discomfort, apprehension, and potentially unpleasant memories while minimizing cardiorespiratory depression of patients during diagnostic and therapeutic procedures. These effects are distinct from both general anesthesia, which provides a state of total unconsciousness, and analgesia alone, which delivers a reduction in or insensibility to pain, not necessarily with a reduction in or a loss of consciousness. Some use of analgesic...

Sédation procédurale : exposé de principe de la Société canadienne des anesthésiologistes



Contributions to the earlier version of this position paper from former members of the CAS Committee on Standards to the Practice of Anesthesia are gratefully acknowledged.

Competing interests

All authors of this article are members of the Standards Committee of the Canadian Anesthesiologists’ Society (CAS). None of the authors have any financial or commercial interests relating to any companies or manufacturers of equipment or medications referenced in this article. Dr. Gregory Dobson is the Chair of the Committee on Standards of the CAS.

Editorial responsibility

This submission was handled by Dr. Hilary P. Grocott, Editor-in-Chief, Canadian Journal of Anesthesia.


Les auteurs sont très reconnaissants envers les anciens membres du Comité des normes de l’exercice de l’anesthésie de la SCA pour leurs contributions à la version précédente de cet exposé de principe.

Conflits d’intérêts

Tous les auteurs de cet article sont membres du Comité des normes de la Société canadienne des anesthésiologistes (SCA). Aucun auteur n’a de lien financier ou commercial avec les sociétés pharmaceutiques ou fabricants d’équipements mentionnés dans cet article. Le Dr Gregory Dobson est le président du Comité des normes de la SCA.

Responsabilité édiroriale

Cet article a été traité par le Dr Hilary P. Grocott, Rédacteur en chef, Journal canadien d’anesthésie.


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Copyright information

© Canadian Anesthesiologists' Society 2018

Authors and Affiliations

  • Gregory Dobson
    • 1
    Email author
  • Matthew A. Chong
    • 2
  • Lorraine Chow
    • 3
  • Alana Flexman
    • 4
  • Heather Hurdle
    • 3
  • Matthew Kurrek
    • 5
  • Claude Laflamme
    • 6
  • Michel-Antoine Perrault
    • 7
  • Kathryn Sparrow
    • 8
  • Shean Stacey
    • 3
  • Petrus A. Swart
    • 4
  • Michael Wong
    • 1
  1. 1.Department of AnesthesiologyDalhousie UniversityHalifaxCanada
  2. 2.Department of AnesthesiologyUniversity of Western OntarioLondonCanada
  3. 3.Department of AnesthesiologyUniversity of CalgaryCalgaryCanada
  4. 4.Department of AnesthesiologyVancouver General HospitalVancouverCanada
  5. 5.Department of AnesthesiologyUniversity of TorontoTorontoCanada
  6. 6.Department of AnesthesiologySunnybrook Health Sciences CentreTorontoCanada
  7. 7.Department of AnesthesiologyUniversity of SherbrookeSherbrookeCanada
  8. 8.Department of AnesthesiologyMemorial UniversitySt. John’sCanada

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