title: Procedural sedation and analgesia in the emergency department.
abstract: OBJECTIVE
  Procedural sedation and analgesia is frequently administered outside of the operating room in emergency departments (EDs) and ICUs. Evidence was sought concerning patients' safety in the ED.
  
  
  RESULTS
  Procedural sedation, when administered in the ED by trained personnel, is safe. Extensive literature demonstrates that propofol, ketamine, midazalam, and fentanyl are appropriate medications with proper monitoring and the presence of appropriate personnel. Preprocedural fasting may not be necessary in many cases.
  
  
  CONCLUSIONS
  With appropriately trained personnel, proper equipment, and the studied drugs ED sedation and analgesia is safe and an appropriate procedure.
authors.affiliation: Division of Emergency Medicine, Department of Traumatology and Emergency Medicine, Hartford Hospital, Hartford, Connecticut 06102, USA. asmally@harthosp.org
authors.forename: Alan J
authors.initials: AJ
authors.lastname: Smally
authors.forename: Thomas A
authors.initials: TA
authors.lastname: Nowicki
authors.forename: Bernard H
authors.initials: BH
authors.lastname: Simelton
mesh_terms: D000698:Analgesia / Q000379:methods*; D000778:Anesthetics, Dissociative / Q000627:therapeutic use; D018686:Anesthetics, Intravenous / Q000627:therapeutic use; D019296:Capnography; D054810:Deep Sedation / Q000379:methods*; D004636:Emergency Service, Hospital; D005215:Fasting; D006801:Humans; D007362:Intensive Care Units; D007649:Ketamine / Q000627:therapeutic use; D008874:Midazolam / Q000627:therapeutic use; D009873:Operating Rooms / Q000379:methods*; D015742:Propofol / Q000627:therapeutic use
chemical_list: D000778:Anesthetics, Dissociative; D018686:Anesthetics, Intravenous; D007649:Ketamine; D008874:Midazolam; D015742:Propofol