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Letter to Editor
What is the Impact of the Implementation of an Evidence Based Procedural Sedation Protocol in the Emergency Department?
Author(s): Nisreen Maghraby, Eleena Pearson, Xiaoqing Xue, Antoinette Colacone and Marc AfilaloNisreen Maghraby, Eleena Pearson, Xiaoqing Xue, Antoinette Colacone and Marc Afilalo
Background: Procedural sedation and analgesia (PSA) enables emergency physicians to provide pain and anxiety relief for many procedures. However, PSA introduces an independent risk factor and requires continuous monitoring. Recently, we applied the principles of knowledge translation (KT) to develop and implement a PSA protocol in our ED. Objectives: To evaluate the impact of a PSA protocol developed and implemented using KT principles on changes in ED physician practices with respect to length of monitoring time in resuscitation area, complication rate, medication types and doses. Methods: Design: Pre- Post retrospective chart review. Setting: Adult tertiary-care academic centre. Participants: Patients who underwent PSA in the ED as per physician bill.. View More»