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Updated: Jun 18, 2025

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Published on: September 24, 2020
Dream of the Endless: Updates in Agents for Procedural Sedation
1Departments of Emergency Medicine Clinical Pharmacy, Emergency Medicine, and Pharmacy, University of Kentucky HealthCare, Lexington, Kentucky (Dr. Bailey); and Department of Clinical Pharmacy and Outcomes Sciences, College of Pharmacy, University of South Carolina, Columbia, South Carolina (Dr. Weant).
Abstract:
Procedural sedation and analgesia is an essential activity in the emergency department for managing pain and anxiety during a variety of medical procedures. Various pharmacotherapy options, including opioid analgesics, antiemetics, anticholinergics, sedatives, and ketamine have been utilized, all with their unique efficacy and safety profiles. This review highlights the challenges associated with using certain agents and discusses emerging trends such as the use of newer synthetic opioids and the expanding use of dexmedetomidine. Overall, the selection of the optimal agents for procedural sedation and analgesia should be guided based on the unique characteristics of each agent tailored to the needs of the specific procedure, along with consideration for individual patient characteristics.
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