Sedation and Analgesia for Diagnostic and Therapeutic Procedures (Contemporary Clinical Neuroscience)

Physicians, nurses, and safety experts comprehensively review sedation and analgesia to provide a completely new reference guide to safe sedation practices consistent with existing guidelines. Starting with an integrated review of the basic physiology and neurobiology of the sedated state, the authors proceed through clinical guidelines and practices, and conclude with an examination of quality-outcome measures and processes. They also review current mandates for safe sedation practices and address the key clinical issues of pharmacology, monitoring, and recovery. Special tables and figures throughout the book summarize protocols, regulatory requirements, recommended dosages, monitoring requirements, and quality assurance tools.

Twelve contributions together provide a review of sedation and analgesia from many perspectives. Chapters address the basic neurobiology and physiology of the sedated state; clinical guidelines, procedures, and practices; quality- outcome measures and processes; and special situations such as considerations for pediatric sedation and nursing perspectives on the care of sedated patients. Written by anesthesiologists, pediatricians, critical care specialists, and obstetric anesthesiologists from mostly American medical schools and hospitals. Suitable for investigators, physicians, nurses, and hospital administrators. Annotation (c)2003 Book News, Inc., Portland, OR

Doody Review Services

Reviewer:Penny Wolfe Moore, RNC, PhD(Southwestern Adventist University)
Description:This is a highly specialized book written by primarily physicians covering all conceivable uses of sedation and analgesia. There are very few illustrations, all black-and-white line drawings.
Purpose:The purpose is "to review sedation and analgesia from a wide variety of perspectives starting with the basic neurobiology and physiology of the sedated state, proceeding through clinical guidelines and practices, and concluding with a section on quality-outcome measures and processes." These worthy objectives have been met.
Audience:The authors believe the readership includes "physicians and nurses, clinical investigators, and hospital administrators working in a clinical setting where sedation and analgesia are practiced." I agree with this with the possible exception of hospital administrators, who may not have the expertise to comprehend much of this medical text. This would be an excellent resource for clinical areas where sedation and analgesia are administered.
Features:The content is technical and comprehensive. To do it justice I will quote the authors, "Starting with an integrated review of the basic physiology and neurobiology of the sedated state, the authors proceed through clinical guidelines and practices, and conclude with an examination of quality-outcome measures and processes. To enable clinicians to develop institutional guidelines for their own practice settings, they also review current mandates for safe sedation practices established by such regulatory agencies as the Joint Commission on Accreditation of Healthcare Organizations. Additional chapters address the key clinical issues of pharmacology, monitoring, and recovery." There are tables and figures throughout the book summarizing protocols, regulatory requirements, dosages, monitoring requirements, and quality assurance tools.
Assessment:The book is technical and comprehensive. Many research studies are cited. Multiple drugs and procedures are included. It is an excellent reference for professionals providing sedation and analgesia in various settings. Nurses would have to be specialists in these settings to understand or have a need for this book.

Cover......Page 1 Copyright......Page 4 Dedication......Page 5 Preface......Page 7 Contents......Page 9 Contributors......Page 11 1 Opioids, Sedation, and Sleep: Different States, Similar Traits, and the Search for Common Mechanisms......Page 13 2 Practice Guidelines for Pediatric Sedation......Page 45 3 Practice Guidelines for Adult Sedation and Analgesia......Page 65 4 Procedure and Site-Specific Considerations for Pediatric Sedation......Page 89 5 Adult Sedation by Site and Procedure......Page 117 6 Pharmacology of Sedative Agents......Page 137 7 Opioids in the Management of Acute Pediatric Pain......Page 165 8 Patient Monitoring During Sedation......Page 203 9 Assessment of Sedation Depth......Page 231 10 Nursing Perspectives on the Care of Sedated Patients......Page 255 11 Recovery and Transport of Sedated Patients......Page 275 12 Quality Assurance and Continuous Quality Improvement in Sedation Analgesia......Page 287 Index......Page 309 Back Cover......Page 323 "Up-to-date and highly practical, Sedation and Analgesia for Diagnostic and Therapeutic Procedures provides a sound scientific understanding, as well as an authoritative reference guide, that will help new and established clinicians, and medical personnel generally, ensure patient safety when administering sedation and analgesia."--BOOK JACKET