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“Best Practices for Outpatient Procedural Sedation” by Baxter

It is imperative to mention that conscious sedation is a fascinating topic that has been actively discussed by scholars. The most significant problem that needs to be addressed is that this procedure is frequently associated with severe complications, and many authors have tried to get a better understanding of its unique aspects. Moreover, they have suggested ways in which patient satisfaction may be improved, and the biggest number of positive outcomes is achieved.

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An article by Baxter (2012) is focused on various aspects of sedation and what complications may occur, and the author suggests that several procedures must be combined to achieve the biggest level of efficiency. Moreover, it is stated that the management of stress and fear is vital and may help to avoid severe consequences (Baxter, 2012). A study by Jeyabalan & Medford (2014) is focused on ways in which a health care institution may minimize expenses on sedation. The problem is that the suggested approach may not be viewed as the most useful and need to conduct additional studies should be considered. The problem is that a cough is a significant symptom that should not be overlooked, and it was present in 93 percent of the cases (Jeyabalan & Medford, 2014). An article by Patel & Kress (2012) is focused on advances in this area and authors make suggestions on how patients must be managed in such cases to avoid possible complications. The fact that authors suggest that a treatment plan should be developed individually for every single patient should be taken into account, and it may help to prevent possible issues (Patel & Kress, 2012). A study by Nayar et al. (2010) is focused on complications related to this approach. Moreover, one of the most important issues that were considered by the authors is the fact that conscious sedation is frequently compared to anesthesia, and results of the study indicate that the dissimilarity between reactions of patients is not statistically significant (Nayar et al., 2010). A study by Ravindra & Barrett (2012) is focused on the education of patients and the authors make several critical recommendations that may be applied in practice. It is paramount to note that every single patient must have an understanding of the fact that it is important to comply with instructions because it may lead to complications. Moreover, the authors of the study suggest that individuals should be provided with the necessary information with the use of such tools as leaflets, and they must be focused on core aspects (Ravindra & Barrett, 2012). A study by Watkins et al. (2014) also needs to be discussed, and it is focused on the impact of sedation and issues that may require the interventions of professionals. Furthermore, authors have collected and analyzed the data, and they state that propofol is the recommended medicine in such cases because the way it affects cognitive function after procedures is not significant compared to other drugs (Watkins et al., 2014).

In conclusion, it is evident that scholars have focused on such aspects as the satisfaction of patients and complications because they are viewed as especially problematic. The problem is that the number of participants is rather small in most cases, and this area is relatively unexplored at this point. Moreover, need to conduct studies on this topic in the future should not be overlooked, because numerous opportunities to improve patient outcomes are present.


Baxter, L. (2012). Best practices for outpatient procedural sedation. Pediatric Annals, 41(11), 471-475. Web.

Jeyabalan, A., & Medford, A. R. (2014). Endobronchial ultrasound-guided transbronchial needle aspiration: Patient satisfaction under light conscious sedation. Respiration, 88(3), 244-250. Web.

Nayar, D. S., Guthrie, W. G., Goodman, A., Lee, Y., Feuerman, M., Scheinberg, L., & Gress, F. G. (2010). Comparison of propofol deep sedation versus moderate sedation during endosonography. Digestive Diseases and Sciences, 55(9), 2537-2544.

Patel, S. B., & Kress, J. P. (2012). Sedation and analgesia in the mechanically ventilated patient. American Journal of Respiratory and Critical Care Medicine, 185(5), 486-497.

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Ravindra, P., & Barrett, C. (2012). Compliance with pre-operative instructions for procedures with conscious sedation: A complete audit cycle. British Dental Journal, 212(3), 5.

Watkins, T., Bonds, R., Hodges, K., Goettle, B., Dobson, D., & Maye, J. (2014). Evaluation of postprocedure cognitive function using 3 distinct standard sedation regimens for endoscopic procedures. ANA Journal, 82(2), 133-139.

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