Sedation Monitoring

The American Society of Anesthesiologists publishes monitoring requirements for non-anesthesia providers on a regular basis. These publications cover not only the monitoring of patients under sedation and analgesia but pre-procedure evaluation and preparation, personnel availability and training, emergency equipment availability, use of supplemental oxygen, sedative-analgesic agents, and discharge criteria.

Current recommendations for monitoring include patient responsiveness, blood pressure, respiratory rate, heart rate, and oxygen saturation. Oxygen saturation is a critical vital sign, but there can be a significant delay between inadequate ventilation and desaturation. Thus, one must monitor adequacy of ventilation by direct observation, auscultation, and/or end-tidal CO2 monitoring.

We hold all our practitioners to these rigorous ASA guidelines and regulations as all providers should. We practice IV moderate sedation which is defined as “a drug-induced depression of consciousness during which patients 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.”

Our equipment provides top of the line monitoring in every ASA category. With our monitoring equipment we bring the necessary monitoring connections for BP, HR, ECG, pulse oximetry, and capnography. Along with bring this equipment we will train the host staff to recognize what each vital sign is relaying to the doctor. This allows the staff to feel comfortable and relaxed in what is normally a new frontier for them.

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