TY - JOUR
T1 - Impact of New Guidelines of Unscheduled and Scheduled Sedation for Cardiologists
T2 - JACC Council Perspectives
AU - ACC's Electrophysiology Section Leadership Council
AU - ACC's Interventional Section Leadership Council
AU - ACC's Imaging Section Leadership Council
AU - Fisher, John D.
AU - Welt, Frederick G.
AU - Villines, Todd C.
AU - Truesdell, Alexander G.
AU - Young, Michael N.
AU - Lakkireddy, Dhanunjaya
AU - Lee, Byron K.
N1 - Publisher Copyright:
© 2019 American College of Cardiology Foundation
PY - 2019/9/17
Y1 - 2019/9/17
N2 - Until 2019, guidelines for procedural sedation emphasized a detailed process most applicable for elective procedures scheduled well in advance. These guidelines provided by the American Society of Anesthesiologists were adopted by many specialties and institutions, and they have historically served the medical field well. However, cardiologists and other specialists often encounter urgent situations that demand unscheduled sedation. Physicians have been concerned about performing procedures in a fashion that “departs from the guidelines.” In response, the American College of Emergency Physicians (ACEP) has developed a set of guidelines for patients requiring urgent unscheduled sedation. Many of the recommendations made within the novel ACEP guidelines are appropriate for cardiology, but there remain fundamental differences between trauma and other emergencies encountered in the emergency department and urgent cardiac procedures. This paper examines the differences between the American Society of Anesthesiologists and ACEP guidelines and provides some points to consider regarding best practices for cardiologists.
AB - Until 2019, guidelines for procedural sedation emphasized a detailed process most applicable for elective procedures scheduled well in advance. These guidelines provided by the American Society of Anesthesiologists were adopted by many specialties and institutions, and they have historically served the medical field well. However, cardiologists and other specialists often encounter urgent situations that demand unscheduled sedation. Physicians have been concerned about performing procedures in a fashion that “departs from the guidelines.” In response, the American College of Emergency Physicians (ACEP) has developed a set of guidelines for patients requiring urgent unscheduled sedation. Many of the recommendations made within the novel ACEP guidelines are appropriate for cardiology, but there remain fundamental differences between trauma and other emergencies encountered in the emergency department and urgent cardiac procedures. This paper examines the differences between the American Society of Anesthesiologists and ACEP guidelines and provides some points to consider regarding best practices for cardiologists.
KW - guidelines
KW - procedural sedation
KW - sedation
KW - unscheduled sedation
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U2 - 10.1016/j.jacc.2019.07.038
DO - 10.1016/j.jacc.2019.07.038
M3 - Review article
C2 - 31514954
AN - SCOPUS:85071538792
SN - 0735-1097
VL - 74
SP - 1505
EP - 1511
JO - Journal of the American College of Cardiology
JF - Journal of the American College of Cardiology
IS - 11
ER -