Presedation Assessment
Emergency physicians should perform a general presedation
patient assessment,10,11 including a screen for ketamine
contraindications. Accompanying family members or guardians
should be educated about expected effects and potential adverse
events associated with ketamine sedation. The characteristics of
the dissociative state should also be discussed, especially if they
will be with the patient during the procedure or recovery.
There is inconclusive evidence that phrasing the dissociative
experience in positive terms before sedation can decrease the risk
of unpleasant recovery reactions,73-75 and it is a common (but
yet-unproven) practice to encourage patients to “plan” pleasant
intrasedation dreams.
No comments:
Post a Comment