Semin intervent Radiol 2001; 18(4): 399-404
DOI: 10.1055/s-2001-19101
Copyright © 2001 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA. Tel.: +1(212) 584-4662

Conscious Sedation Guidelines and Standards: Safer Sleep

Kate A. Feinstein
  • Department of Radiology, The University of Chicago Hospitals, Chicago, Illinois
Further Information

Publication History

Publication Date:
18 December 2001 (online)

ABSTRACT

The first sedation guidelines appeared in 1985. In the past 10 years, the American Academy of Pediatrics (AAP), the American Society of Anesthesiologists (ASA), the American College of Radiology (ACR), and the Joint Commission on the Accreditation of Healthcare Organizations (JCAHO) have issued various guidelines and standards to enhance the safety of patients requiring conscious sedation during their care. Radiologists need to be aware of these groups' recommendations as well as their own hospital's policies in order to design an effective and safe program for conscious sedation in their own practice. This article gives a history of the relevant guidelines and standards, compares and contrasts them, and makes recommendations concerning risk-management techniques to improve compliance.

REFERENCES

  • 1 American Academy of Pediatrics Committee on Drugs. Guidelines for monitoring and management of pediatric patients during and after sedation for diagnostic and therapeutic procedures.  Pediatrics . 1992;  89 1110-1115
  • 2 American Society of Anesthesiologists Task Force on Sedation and Analgesia by Non-Anesthesiologists. Practice guidelines for sedation and analgesia by non-anesthesiologists.  Anesthesiology . 1996;  84 459-471
  • 3 ACR standard for pediatric sedation/analgesia (Res. 36-1998). In: 1998 Standards Reston, VA: American College of Radiology 1998: 43-46
  • 4 ACR standard for the use of intravenous conscious sedation (Res. 15-1995). In: 1998 Standards Reston, VA: American College of Radiology 1998: 123-124
  • 5 Joint Commission on Accreditation of Healthcare Organizations. 1997 Comprehensive Accreditation Manual for Hospitals. Oak Brook Terrace, IL: Joint Commission on Accreditation of Healthcare Organizations; 1997;TX15-TX17, TX73-TX80
  • 6 Lang E V, Joyce J S, Spiegel D, Hamilton D, Lee K. Self-hypnotic relaxation during interventional radiological procedures. Effects on pain perception and intravenous drug use.  Int J Exp Clin Hypnosis . 1996;  44 106-119
  • 7 Lang E V, Berbaum K S. Educating interventional radiology personnel in nonpharmacologic analgesia: effect on patients' pain perception.  Acad Radiol . 1997;  4 753-757
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