Indikasi Prosedural Sedasi

Oleh dr. Riawati Jahja

Indikasi prosedural sedasi pasien yang akan menjalani prosedur medis, diagnostik, atau terapeutik, di mana prosedur ini akan memberikan rasa tidak nyaman pada pasien, seperti rasa nyeri, takut, khawatir.

Berikut ini adalah indikasi klinis pada prosedural sedasi:

Cedera minor

pengurangan fraktur dan penerapan gips

mengurangi dislokasi sendi seperti dislokasi bahu, dislokasi pinggul, dislokasi siku, dislokasi patella

penjahit luka besar atau mencuci luka yang terkontaminasi

Tindakan Medis Anak atau Pasien yang Cemas

IV line

pungsi lumbal

aspirasi sumsum tulang

penjahit kulit

ekstraksi kuku

manajemen luka

Tindakan Medis yang Invasif

endoskopi

panendoskopi

Intercostal Catheter

Referensi

1. Brown, D. R., & Murray, M. J. (2001). Analgesia and sedation in critically ill patients. In R. G. Holzheimer & J. A. Mannick (Eds.), Surgical Treatment: Evidence-Based and Problem-Oriented. Munich: Zuckschwerdt. https://www.ncbi.nlm.nih.gov/books/NBK6870/.

2. Brown, T. B., Lovato, L. M., & Parker, D. (2005). Procedural sedation in the acute care setting. Am Fam Physician, 71(1), 85-90.

3. Cote, C. J., Karl, H. W., Notterman, D. A., Weinberg, J. A., & McCloskey, C. (2000). Adverse sedation events in pediatrics: analysis of medications used for sedation. Pediatrics, 106(4), 633-644.

4. Coté, C. J., Notterman, D. A., Karl, H. W., Weinberg, J. A., & McCloskey, C. (2000). Adverse Sedation Events in Pediatrics: A Critical Incident Analysis of Contributing Factors. Pediatrics, 105(4), 805.

5. Evered, L. M. (2003). Procedural sedation and analgesia for paediatric patients in the emergency department. Paediatrics & Child Health, 8(8), 503-507.

6. Keogh, S. J., Long, D. A., & Horn, D. V. (2015). Practice guidelines for sedation and analgesia management of critically ill children: a pilot study evaluating guideline impact and feasibility in the PICU. [10.1136/bmjopen-2014-006428]. BMJ Open, 5(3).

7. Ramaiah, R., & Bhananker, S. (2011). Pediatric procedural sedation and analgesia outside the operating room: anticipating, avoiding and managing complications. Expert Review of Neurotherapeutics, 11(5), 755-763. doi: 10.1586/ern.11.52

8. Schweickert, W. D., & Kress, J. P. (2008). Strategies to optimize analgesia and sedation. Critical Care, 12(Suppl 3), S6-S6. doi: 10.1186/cc6151

9. Smith, H. S., Colson, J., & Sehgal, N. (2013). An update of evaluation of intravenous sedation on diagnostic spinal injection procedures. Pain Physician, 16(2 Suppl), SE217-228

10. The Royal Children's Hospital Melbourne. (2017). Analgesia and Sedation Retrieved 30 August, 2017, http://www.rch.org.au/clinicalguide/guideline_index/Analgesia_and_sedation/

11. Tobias, J. D., & Leder, M. (2011). Procedural sedation: A review of sedative agents, monitoring, and management of complications. Saudi Journal of Anaesthesia, 5(4), 395-410. doi: 10.4103/1658-354x.87270

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Indikasi Prosedural Sedasi

Referensi