Procedural Sedation

Preparation/Monitoring

-In high risk sedations, have paralytic drawn up b/c if definitive airway management is needed you’ll need it to get control – e.g. can’t get LMA in if mouth clamped shut

Propofol

Ketamine

Alfentanyl

Etomidate

-Works well in opioid/EtOH dependent pts

-Myoclonus

-0.15 mg/kg dose for hypotensive cardioversion

-2-4 mg dose for anxiolysis during painful procedures (e.g. I&D, NGT, foley etc)