Presedation Assessment

A presedation assessment is essential to identify high-risk patient populations and anticipate and reduce adverse sedation events. Presedation preparation begins prior to patient arrival. Studies have shown that background knowledge and skills in resuscitation (particularly airway management), education in sedative pharmacology, and presedation risk assessment reduce the frequency and severity of adverse events during sedation. All in all, the majority of preventable adverse sedation events tend to occur as a consequence of inadequate practitioner experience and skills (insufficient education) and violation of hospital policy and procedure (rule violation). Several general statements can be made regarding adverse events during sedation:

  1. The vast majority of adverse outcomes during sedation are preceded by a respiratory event.
  2. The greater the depth of sedation, the greater the risk of complications.
  3. The majority of poor outcomes related to adverse sedation events are due to a rule violation or insufficient education and skills of the practitioner.
  4. Adverse sedation events are not associated with either a specific sedative drug class or route of administration.

General History

Physical Examination

ASA Classification

General Preparation