Table 6

Intercollegiate Working Party of the UK Academy of Medical Royal Colleges—summary of safe sedation practice106

DomainSafe practice
Patient assessment‘Checklist’ identification of sedation risk factors prior to procedure. Instructions on activities subsequent to procedure provided
Level of sedationSedation provided only to the level of ‘conscious’ sedation, in which verbal contact is possible
Intravenous sedationSecure venous access mandatory
Specific antagonist drugs should be to hand (see appendix 8)
When combination sedation used, opioids should be given first, and caution should be taken to avoid oversedation
MonitoringDefined professionals should have responsibility for monitoring patient safety and making a written record. Pulse oximeter monitoring should be continued until discharge from unit. Consider monitoring blood pressure and ECG in higher risk patients
Oxygen therapyNasal cannula and facial mask oxygen delivery should be available
FacilitiesPatient trolley should be capable of being tipped head down
Resuscitation equipment should be immediately available