Impact of New Guidelines of Unscheduled and Scheduled Sedation for Cardiologists

JACC Council Perspectives

ACC's Electrophysiology Section Leadership Council, ACC's Interventional Section Leadership Council, ACC's Imaging Section Leadership Council

Research output: Contribution to journalReview article

Abstract

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.

Original languageEnglish (US)
Pages (from-to)1505-1511
Number of pages7
JournalJournal of the American College of Cardiology
Volume74
Issue number11
DOIs
StatePublished - Sep 17 2019

Fingerprint

Guidelines
Emergencies
Cardiology
Physicians
Practice Guidelines
Cardiologists
Hospital Emergency Service
Wounds and Injuries

Keywords

  • guidelines
  • procedural sedation
  • sedation
  • unscheduled sedation

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

ACC's Electrophysiology Section Leadership Council, ACC's Interventional Section Leadership Council, & ACC's Imaging Section Leadership Council (2019). Impact of New Guidelines of Unscheduled and Scheduled Sedation for Cardiologists: JACC Council Perspectives. Journal of the American College of Cardiology, 74(11), 1505-1511. https://doi.org/10.1016/j.jacc.2019.07.038

Impact of New Guidelines of Unscheduled and Scheduled Sedation for Cardiologists : JACC Council Perspectives. / ACC's Electrophysiology Section Leadership Council; ACC's Interventional Section Leadership Council; ACC's Imaging Section Leadership Council.

In: Journal of the American College of Cardiology, Vol. 74, No. 11, 17.09.2019, p. 1505-1511.

Research output: Contribution to journalReview article

ACC's Electrophysiology Section Leadership Council, ACC's Interventional Section Leadership Council & ACC's Imaging Section Leadership Council 2019, 'Impact of New Guidelines of Unscheduled and Scheduled Sedation for Cardiologists: JACC Council Perspectives', Journal of the American College of Cardiology, vol. 74, no. 11, pp. 1505-1511. https://doi.org/10.1016/j.jacc.2019.07.038
ACC's Electrophysiology Section Leadership Council, ACC's Interventional Section Leadership Council, ACC's Imaging Section Leadership Council. Impact of New Guidelines of Unscheduled and Scheduled Sedation for Cardiologists: JACC Council Perspectives. Journal of the American College of Cardiology. 2019 Sep 17;74(11):1505-1511. https://doi.org/10.1016/j.jacc.2019.07.038
ACC's Electrophysiology Section Leadership Council ; ACC's Interventional Section Leadership Council ; ACC's Imaging Section Leadership Council. / Impact of New Guidelines of Unscheduled and Scheduled Sedation for Cardiologists : JACC Council Perspectives. In: Journal of the American College of Cardiology. 2019 ; Vol. 74, No. 11. pp. 1505-1511.
@article{8fa2121767da44d4b52b29bda1a7165b,
title = "Impact of New Guidelines of Unscheduled and Scheduled Sedation for Cardiologists: JACC Council Perspectives",
abstract = "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.",
keywords = "guidelines, procedural sedation, sedation, unscheduled sedation",
author = "{ACC's Electrophysiology Section Leadership Council} and {ACC's Interventional Section Leadership Council} and {ACC's Imaging Section Leadership Council} and Fisher, {John Devens} and Welt, {Frederick G.} and Villines, {Todd C.} and Truesdell, {Alexander G.} and Young, {Michael N.} and Dhanunjaya Lakkireddy and Lee, {Byron K.}",
year = "2019",
month = "9",
day = "17",
doi = "10.1016/j.jacc.2019.07.038",
language = "English (US)",
volume = "74",
pages = "1505--1511",
journal = "Journal of the American College of Cardiology",
issn = "0735-1097",
publisher = "Elsevier USA",
number = "11",

}

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 Devens

AU - Welt, Frederick G.

AU - Villines, Todd C.

AU - Truesdell, Alexander G.

AU - Young, Michael N.

AU - Lakkireddy, Dhanunjaya

AU - Lee, Byron K.

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

UR - http://www.scopus.com/inward/record.url?scp=85071538792&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85071538792&partnerID=8YFLogxK

U2 - 10.1016/j.jacc.2019.07.038

DO - 10.1016/j.jacc.2019.07.038

M3 - Review article

VL - 74

SP - 1505

EP - 1511

JO - Journal of the American College of Cardiology

JF - Journal of the American College of Cardiology

SN - 0735-1097

IS - 11

ER -