title: Fasting and emergency department procedural sedation and analgesia: a consensus-based clinical practice advisory.
abstract: Emergency physicians frequently administer procedural sedation and analgesia to nonfasted patients; however, they currently have no specific guidelines to aid them in preprocedural risk stratification. We assembled a committee of leading emergency physician sedation researchers to develop a consensus-based clinical practice advisory for this purpose. Our goal was to create a tool to permit emergency physicians to identify prudent limits of sedation depth and timing in light of fasting status and individual patient risk factors. The advisory is not intended to assert a legal standard of practice or absolute requirement. It is expected that emergency physicians will at times appropriately deviate from it according to individualized judgment and unique clinical circumstances.
authors.affiliation: Department of Emergency Medicine, Loma Linda University Medical Center and Children's Hospital, Loma Linda, CA 92354, USA. stevegreen@tarascon.com
authors.forename: Steven M
authors.initials: SM
authors.lastname: Green
authors.forename: Mark G
authors.initials: MG
authors.lastname: Roback
authors.forename: James R
authors.initials: JR
authors.lastname: Miner
authors.forename: John H
authors.initials: JH
authors.lastname: Burton
authors.forename: Baruch
authors.initials: B
authors.lastname: Krauss
mesh_terms: D000698:Analgesia; D002985:Clinical Protocols; D016292:Procedural Sedation; D000075202:Contraindications; D004636:Emergency Service, Hospital; D005215:Fasting; D006801:Humans; D053120:Respiratory Aspiration / Q000517:prevention & control