[Stand-by and conscious sedation--possibilities and limits of anesthesiological management].
Monitored anaesthesia care (MAC) offers patients more comfort during long and painful procedures than local anaesthesia alone. The spectrum of monitored anaesthesia care has expanded quantitatively and qualitatively during the last few years. Commonly-used sedative and analgesic drugs during MAC are propofol, midazolam, S-ketamine, remifentanil and piritramide. All substances used alone or in combination can lead to respiratory or haemodynamic complications. Therefore, they should be carefully titrated to the desired effect. The same standards as for general anaesthesia and regional anaesthesia are required for monitoring devices and other equipment. Clinical monitoring during MAC should be carried out by an experienced anaesthetist.
Münte
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Abteilung Anästhesiologie I, Medizinischen Hochschule Hannover.
Adams
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HA
D000700:Analgesics / Q000009:adverse effects; D016292:Procedural Sedation; D004305:Dose-Response Relationship, Drug; D004334:Drug Administration Schedule; D004359:Drug Therapy, Combination; D006801:Humans; D006993:Hypnotics and Sedatives / Q000009:adverse effects; D008991:Monitoring, Physiologic; D010348:Patient Care Team
D000700:Analgesics; D006993:Hypnotics and Sedatives