BHFLHN : Procedural Sedation and Analgesia

Please Note : This course is designed for Clinical Staff working the Barossa Hills Fleurieu Local Health Network.

Procedural sedation describes the administration of drugs in a controlled setting to reduce pain and/or awareness. In the emergency department it is used for a wide variety of procedures, including laceration repair, reduction and immobilisation of fractures or dislocations, incision and drainage procedures, wound exploration and removal of foreign bodies from the eye, ear, nose and skin. Procedural sedation is most often used in healthy adults and children (>3 months) and those with mild well-controlled systemic disease (eg. asthma).

The sedative agents most commonly used for procedural sedation are Midazolam +/- Fentanyl, Propofol, Ketamine and Ketofol. This course examines the indications, contraindications for procedural sedation, assessment, monitoring and after care of the patient undergoing procedural sedation and examine in detail the common drugs used for procedural sedation.

This course explores the following topics :

• 1. Parenteral Procedural Sedation : Core Principles

• 2. Intravenous Sedation using Midazolam / Fentanyl

• 3. Intravenous Sedation using Propofol

• 4. Parenteral Sedation using Ketamine

• 5. Intranasal Sedation using Midazolam, Fentanyl, Ketamine

• 6. Intravenous Regional Anaesthesia - Bier Block (Optional)

If you have any problems or require more information: Contact LearnEM Support