The patient does not remember the majority of the procedure and awakens in a comfortable, composed state.
The choice of medications used depends on the objectives desired; some medications will provide for an elevation in the patient's pain threshold, while others have no analgesic properties.
Each individual patient should be closely and continuously monitored to prevent this progression to the deeper sedated states .Cardiovascular function is usually maintained" . The Joint Commission has mandated that an institution's sedation practices be monitored and evaluated by the department of anesthesia.In response to this mandate, the American Society of Anesthesiologists (ASA) developed practice guidelines for nonanesthesiologists who provide sedation and analgesia [2,3,4].Thus, the Joint Commission defines moderate sedation/analgesia as "a drug-induced depression of consciousness during which individuals served respond purposefully to verbal commands either alone or accompanied by light tactile stimulation.
No interventions are required to maintain a patent airway, and spontaneous ventilation is adequate.
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