J Korean Med Assoc.  2007 Dec;50(12):1065-1071. 10.5124/jkma.2007.50.12.1065.

Anesthesia and Sedation

• Lim HJ

• KMID: 2184954
• DOI: http://doi.org/10.5124/jkma.2007.50.12.1065

Abstract

Anesthetic care is usually provided for patients undergoing surgical procedures to make them unconscious and painless during surgery. Nowadays there are increasing therapeutic or diagnostic procedures performed outside operating room. Sedation is more frequently provided as healthcare during procedures for patient's comfort and safety by non-anesthesiologist or anesthesiologist. Early in 1999, ASA (the American Society of Anesthesiologists defined sedation and analgesia and established 4 states: minimal sedation, moderate sedation, deep sedation, and general anesthesia. Monitored anesthetic care implies the potential for a deep sedation and is always administered by an anesthesiologist. It is not always possible to predict how an individual patient will respond by nature of being a continuum of sedation. Hence, practitioners intending to induce a given level of sedation should be able to rescue patients whose level of sedation becomes deeper than initially intended. The standards for preoperative evaluation, intraoperative monitoring, anesthetic care, etc. are not different from those for general anesthesia.

Keyword

Sedation; Anesthesia; Sedation / analgesia; Monitored anesthesia care

MeSH Terms

Analgesia
Anesthesia*
Anesthesia, General
Conscious Sedation
Deep Sedation
Delivery of Health Care
Humans
Methods
Monitoring, Intraoperative
Operating Rooms