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Nonetheless, clinicians may underuse sedation, usually from a lack of experience or from unchallenged myths regarding its use.

Sedation is the depression of a patient's awareness to the environment and reduction of his or her responsiveness to external stimulation.

This is accomplished along a continuum of sedation levels: Prior to the administration of medications, clinicians must know the level of sedation required for a given procedure and the appropriate dose of the pharmacologic agent or agents chosen.

This determines the equipment that one should have readily available prior to starting the procedure.

First, sedation is recommended to allow patients the ability to tolerate unpleasant diagnostic or surgical procedures and to relieve anxiety and discomfort.

to sedating-83

Typically, levels are (i) agitation, (ii) calm, (iii) responsive to voice alone, (iv) responsive to tactile stimulation, (v) responsive to painful stimulation only, and (vi) unresponsive to painful stimulation.

Besides those two groups of drugs, other sedatives are also used for that purpose.

Barbiturates are nonselective CNS depressants that used to be the mainstay of treatment to sedate patients or to induce and maintain sleep.

Some cases that require sedation may also necessitate the use of analgesics to decrease pain associated with a procedure or test.

Benzodiazepines (common sedative medication) have a cumulative effect.




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