Complications Of Emergency Department Procedural Sedation And AnalgesiaYou must be a full Eusem member to view this file Go backComplications of Emergency Department Procedural Sedation and Analgesia: Retrospective versus Prospective Data CollectionAlistair Dewar, Keith Jacques, Alasdair Gray, Alexis Leal, Diana BeardEmergency DepartmentRoyal Infirmary of EdinburghStudyResponse to: Raising the Standard; RCA (2000) the complication rate of sedation, general anaesthesia and specialised anaesthesia in A&E Departments is not known Safe Sedation Practice; RCA (2001)auditing adverse incidents and complications promotes continuous quality improvementAimsTo compare the recording of complications rates of Emergency Department PSA over two twelve month study periodsOne retrospective and one prospectiveBackground ED, RIE - Adult-only department ~100 000 presentations / annum Catchment population 750 000 All major trauma for SE Scotland Lower limb #/dislocations for SE Scotland Joint dislocations and unstable fractures Manipulation while the patient is sedated Small number of epidemiological data and practice reviewsProcess of CareMethod1. Retrospective studyPart of MB ChB Year 4 programme1st June 2004 to 31st May 2005Data collected from computerised and handwritten patient notesAll procedural sedation patients in a consecutive sampleInclusion criteria: requiring manipulation specifically under anaesthetic, under sedat |