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Vol. 40. Issue 1.
Pages 67-74 (January - March 2012)
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Vol. 40. Issue 1.
Pages 67-74 (January - March 2012)
DOI: 10.1016/S0120-3347(12)70012-6
Open Access
Recomendaciones para la sedación y la analgesia por médicos no anestesiólogos y odontólogos de pacientes mayores de 12 años
Sedation and analgesia recommendations for non-anesthesiologist physicians and dentists in patients over 12 years old
Pedro Ibarraa,??
Corresponding author

Autor para correspondencia: Avda. Calle 127 # 21-60 cons. 218 Bogotá, Colombia, 110121.
, Manuel Galindob, Alberto Molanoc, Claudia Niñob, Adriana Rubianod, Piedad Echeverrye, Jorge Rincónf, Albis Hanig, Fabio Gilh, Luis Sabbaghi, Jaime Donadoj, Isabel Artunduagak, Rocío Carbonellk, Fernando Vieiral, Carlos Gaidosm, Ana María Orozcol, José Trigosn, Carolina Ruizo, Ricardo Baronap, Rafael Sarmientoq, Martha Fonsecak y Juan Polaníak
a Anestesiólogo. Coordinador, Comité de Seguridad, SCARE
b Anestesiólogo. Comité de Seguridad, SCARE
c Anestesiólogo. Sedarte Ltda
d Anestesiólogo. Sedación Ambulatoria, SAS
e Anestesióloga, Coordinadora, Comité de Anestesia Pediátrica, SCARE
f Cirujano maxilofacial, FOC
g Gastroenteróloga. Presidente, ACG
h Gastroenterólogo. Presidente, ACED
i Gastroenterólogo. Expresidente, ACED
j Odontólogo. Presidente, FOC
k Secretaría Distrital de Salud
l Anestesiólogo. MESEDA
m Odontólogo. Presidente, CCO
n Abogado, Comité de Sedación, FOC
o Odontopediatra. Presidente, ACOP
p Abogado, SCARE
q Anestesiólogo. Sociedad Cundinamarquesa de Anestesiología Sociedad Colombiana de Anestesiología y Reanimación (SCARE), Federación Odontológica Colombiana (FOC), Asociación Colombiana de Gastroenterología (ACG), Asociación Colombiana de Endoscopia Digestiva (ACED), Secretaría Distrital de Salud (SDS) de Bogotá, Colegio Colombiano de Odontólogos (CCO), Academia Colombiana de Odontología Pediátrica (ACOP). Bogotá, Colombia
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Las complicaciones relacionadas con la sedación son, en su enorme mayoría, prevenibles. El presente documento establece unas recomendaciones para que los no anestesiólogos puedan realizar sedaciones nivel I y II con un buen nivel de seguridad. Sus aspectos más importantes son: administración de la sedación por una persona diferente del operador; recomendaciones en cuanto a la capacitación, la monitorización, el uso de un solo medicamento para la sedación y la disponibilidad de medicamentos y equipos de respaldo; la necesidad de realizar una evaluación previa a la sedación, así como el consentimiento informado y el registro durante el procedimiento; y recomendaciones para considerar un bajo umbral con el fin de solicitar el apoyo de un anestesiólogo.

Palabras clave:

Most of the complications related to sedation are preventable. This document defines some recommendations for non-anesthesiologists so that they can provide sedation level I and II with adequate safety. The most important recommendations are: that the sedation be provided by someone different from the person who performs the surgical procedure; designation of the training and monitoring of thje person who sedates; the use of only one medication for sedation, and the availability of medications and equipment to manage complications; the mandatory need of an assessment prior to the sedation, as well as informed consent and record of events during the procedure; and the recommendation of having a low threshold to request the support of an anesthesiologist.

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