Jurnal Internasional Afrika vol. 9 issue 1 2019
African Journal of Emergency Medicine
Procedural sedation and analgesia practices in the emergency centre
Dublin Core
Title
Jurnal Internasional Afrika vol. 9 issue 1 2019
African Journal of Emergency Medicine
Procedural sedation and analgesia practices in the emergency centre
African Journal of Emergency Medicine
Procedural sedation and analgesia practices in the emergency centre
Subject
Procedural sedation
Analgesia
Anesthesia
Sedation
Emergency department
Analgesia
Anesthesia
Sedation
Emergency department
Description
Introduction: Procedural sedation and analgesia allows the clinician to safely and efficiently administer sedation,
analgesia, anxiolysis and sometimes amnesia to facilitate the performance of various procedures in the emergency
centre. The aim of this study is to determine current sedation practices, common indications and major
obstacles in selected emergency centres across Southern Gauteng, South Africa, with a view to improving future
standards and practices.
Methods: This was a prospective, questionnaire based, cross-sectional interview of emergency centre managers
or their designee of selected private-sector and public-sector hospitals in Southern Gauteng.
Results: Overall, 17 hospitals completed the interview, nine (53%) public-sector and eight (47%) private-sector
hospitals, with 36% of hospitals being aligned to an academic institute. All hospitals performed procedural
sedation in their emergency centre. Forty seven percent of managers had between ten and 19 years of clinical
experience post internship. Although eleven (64.7%) managers achieved a postgraduate qualification in emergency
medicine, only seven (41%) were accredited with a Fellowship of the College of Emergency Medicine
(FCEM) qualification and only three (17.7%) centres employed three or more specialists. The majority of centres
(52.3%) performed between ten and 30 procedures per month requiring sedation. Staff training in the practice of
procedural sedation was mostly obtained internally (52.9%), from in-house seniors. Essential drugs, procedure
monitors, resuscitation equipment and protocols were all available in 70.6% of centres.
Conclusion: Although the safe practice and awareness of procedural sedation and analgesia in both public-sector
and private-sector emergency centres in Southern Gauteng appears to be on the increase, there is still a need to
enhance practitioner training and promote awareness of current local and international trends, protocols and
recommendations.
analgesia, anxiolysis and sometimes amnesia to facilitate the performance of various procedures in the emergency
centre. The aim of this study is to determine current sedation practices, common indications and major
obstacles in selected emergency centres across Southern Gauteng, South Africa, with a view to improving future
standards and practices.
Methods: This was a prospective, questionnaire based, cross-sectional interview of emergency centre managers
or their designee of selected private-sector and public-sector hospitals in Southern Gauteng.
Results: Overall, 17 hospitals completed the interview, nine (53%) public-sector and eight (47%) private-sector
hospitals, with 36% of hospitals being aligned to an academic institute. All hospitals performed procedural
sedation in their emergency centre. Forty seven percent of managers had between ten and 19 years of clinical
experience post internship. Although eleven (64.7%) managers achieved a postgraduate qualification in emergency
medicine, only seven (41%) were accredited with a Fellowship of the College of Emergency Medicine
(FCEM) qualification and only three (17.7%) centres employed three or more specialists. The majority of centres
(52.3%) performed between ten and 30 procedures per month requiring sedation. Staff training in the practice of
procedural sedation was mostly obtained internally (52.9%), from in-house seniors. Essential drugs, procedure
monitors, resuscitation equipment and protocols were all available in 70.6% of centres.
Conclusion: Although the safe practice and awareness of procedural sedation and analgesia in both public-sector
and private-sector emergency centres in Southern Gauteng appears to be on the increase, there is still a need to
enhance practitioner training and promote awareness of current local and international trends, protocols and
recommendations.
Creator
Delecia K. Wood-Thompson, Callistus O.A. Enyuma, Abdullah E. Laher
Source
www.elsevier.com/locate/afjem
Publisher
AFEM
Date
14 September 2018
Contributor
PERI IRAWAN
Format
PDF
Language
ENGLISH
Type
TEXT
Files
Citation
Delecia K. Wood-Thompson, Callistus O.A. Enyuma, Abdullah E. Laher, “Jurnal Internasional Afrika vol. 9 issue 1 2019
African Journal of Emergency Medicine
Procedural sedation and analgesia practices in the emergency centre,” Repository Horizon University Indonesia, accessed November 21, 2024, https://repository.horizon.ac.id/items/show/2379.
African Journal of Emergency Medicine
Procedural sedation and analgesia practices in the emergency centre,” Repository Horizon University Indonesia, accessed November 21, 2024, https://repository.horizon.ac.id/items/show/2379.