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Sedation practice in a Scottish teaching hospital emergency department
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  • Published on:
    Time for Emergency Physicians to all become experts in sedation

    Dear Editor,

    I welcome this reivew by Duncan et al (1) that adds further support to the use of sedation by emergency physicians (EPs) when performed according to safe sedation guidelines. I have previously completed a systematic review of the use of midazolam and propofol by non- anaesthetists for procedural sedation with similar conclusions to the review by Symington and Thakore (2) published in the EMJ earlier...

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    Conflict of Interest:
    None declared.
  • Published on:
    Sedate with caution
    • Jan M Lutz, Senior House Officer in Anaesthetics
    • Other Contributors:
      • Winston F de Mello, Consultant Anaesthetist, Wythenshawe Hospital, Manchester
    Dear Editor

    We would like to comment on the sedation practice in the emergency department as described by Duncan et al. (1)

    We feel there is too much reliance on SpO2 in patients undergoing sedation whilst receiving supplementary oxygen. This creates a false sense of security. The end-tidal CO2 is a better indicator of adequacy of ventilation although it is seldom used during sedation. Monitoring of respirato...

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    Conflict of Interest:
    None declared.