Patient Controlled Sedation In Procedural Care

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Patient-controlled sedation in procedural care

Author : Andreas Nilsson
Publisher : Linköping University Electronic Press
ISBN 13 : 9175192217
Total Pages : 88 pages
Book Rating : 4.1/5 (751 download)

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Book Synopsis Patient-controlled sedation in procedural care by : Andreas Nilsson

Download or read book Patient-controlled sedation in procedural care written by Andreas Nilsson and published by Linköping University Electronic Press. This book was released on 2014-11-24 with total page 88 pages. Available in PDF, EPUB and Kindle. Book excerpt: The need for procedural sedation is extensive and on the increase in numbers of patients. Minor treatments or diagnostic procedures are being performed with inadequate sedation or even without any sedatives or analgesics. Also, sedation techniques that support advanced, high-quality, in-patient care procedures representing easy performance and rapid recovery are requested for increased effectiveness. In this doctoral thesis, patient-controlled sedation (PCS) using propofol and alfentanil for surgical and diagnostic procedures was studied. The overall aim was to study aspects of safety, procedural feasibility and patients’ experiences. The main hypothesis was that PCS using only propofol is a safe and effective method for the induction and maintenance of moderate procedural sedation. The studies included were prospective, interventional, and in some cases, randomized and double-blinded. Data on cardiopulmonary changes, level of conscious sedation (bispectral index and Observer’s assessment of alertness/sedation [OAA/S]), pain, discomfort, anxiety, nausea (visual analogue scales), interventions performed by nurse anaesthetists, surgeons’ evaluation of feasibility, procedure characteristics, recovery (Aldrete score) and pharmacokinetic simulation of concentrations of drugs at the effect site supported the analysis and comparison between PCS and anaesthetist-controlled sedation and propofol PCS with or without alfentanil. PCS can be adjusted to cover a broad range of areas where sedation is needed, which, in this thesis, included burn care, gynaecological out-patient surgery and endoscopic procedures for the diagnosis and treatment of diseases in the bile ducts (endoscopic retrograde cholangiopancreatography [ERCP]). PCS for burn wound treatment demands the addition of alfentanil, but still seems to be safe. PCS was preferred by the patients instead of anaesthetist-controlled sedation. The addition of alfentanil to PCS as an adjunct to gynaecological surgical procedures also using local anaesthesia increases the surgeon’s access to the patients, but impairs safety. Apnoea and other such conditions requiring interventions to restore respiratory function were seen in patients receiving both alfentanil and propofol for PCS. Patients’ experiencing perioperative pain and anxiety did not explain the effect-site concentrations of drugs. Different gynaecological procedures and patients’ weights seemed to best explain the concentrations. For discomfort and pain during the endoscopic procedure (ERCP), propofol PCS performs almost the same as anaesthetist-performed sedation. Overall, as part of the pre-operative procedures, PCS does not seem to be time-consuming. In respect to the perioperative perspective, PCS supports rapid recovery with a low incidence of tiredness, pain, and post-operative nausea and vomiting (PONV). The data suggest that PCS further needs to be adapted to the patient, the specific procedure and the circumstances of sedation for optimal benefit and enhanced safety.

Procedural sedation

Author : Benjamin Grossmann
Publisher : Linköping University Electronic Press
ISBN 13 : 9176851109
Total Pages : 90 pages
Book Rating : 4.1/5 (768 download)

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Book Synopsis Procedural sedation by : Benjamin Grossmann

Download or read book Procedural sedation written by Benjamin Grossmann and published by Linköping University Electronic Press. This book was released on 2019-05-13 with total page 90 pages. Available in PDF, EPUB and Kindle. Book excerpt: Background: Safety and effectiveness are fundamental principles within the healthcare sector to provide quality of care and health improvement for patients. By ensuring that care is provided based on evidence-based knowledge, risks and complications can be minimised and the use of scarce resources optimised. An increasing demand for diagnostic and therapeutic procedures challenges the traditional methods for sedation regarding safety and effectiveness. It is desirable that the fundamental principles are improved when refining existing or developing new sedation methods. In this doctoral thesis, safety and effectiveness were evaluated for adult patient-controlled sedation (PCS) using propofol during two endoscopic procedures: endoscopic retrograde cholangiopancreaticography (ERCP) and flexible bronchoscopy (FB); and different doses of rectal racemic ketamine for paediatric (< 4 years) burn wound care. Methods: Data on vital functions, sedation level, safety interventions, procedure feasibility, patient-reported outcome and experience measures, and recovery, from three clinical randomised controlled trials were collected. Costs of sedation for the endoscopic procedures were compiled in a cost-analysis study. Results: PCS with propofol and bedside anaesthetic personnel was shown to be a safe and effective alternative method of sedation during ERCP and FB compared with intravenous sedation with midazolam. The PCS method gives stable cardiorespiratory conditions with few adverse events and interventions, with a low risk of oversedation. PCS offers similar (FB) or better (ERCP) procedure feasibility and patient satisfaction during the procedures than midazolam. Recovery after PCS is quick, minimises the risk for prolonged hospitalisation and is thereby a potential cost-saving sedation method. The optimal dose of rectal racemic ketamine, 6 mg/kg with the addition of 0.5 mg/kg midazolam during severely painful procedures, gives minimal risk for outbreaks of pain, offers stable vital signs conditions and allows rapid recovery without affecting procedure feasibility. Conclusions: The sedation method can be adjusted to type of procedure and patient population. PCS with propofol offers an alternative and reliable method for adult sedation during endoscopic procedures, whereas rectal racemic ketamine combined with midazolam provides good conditions for burn care dressing procedures in young children.

Moderate Procedural Sedation and Analgesia - E-Book

Author : Michael Kost
Publisher : Elsevier Health Sciences
ISBN 13 : 032359770X
Total Pages : 314 pages
Book Rating : 4.3/5 (235 download)

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Book Synopsis Moderate Procedural Sedation and Analgesia - E-Book by : Michael Kost

Download or read book Moderate Procedural Sedation and Analgesia - E-Book written by Michael Kost and published by Elsevier Health Sciences. This book was released on 2019-03-09 with total page 314 pages. Available in PDF, EPUB and Kindle. Book excerpt: Introducing the definitive resource designed for practitioners working in the rapidly expanding area of moderate procedural sedation and analgesia clinical practice. Moderate Procedural Sedation and Analgesia: A Question and Answer Approach focuses on the preprocedural, procedural, and postprocedural care of the moderately sedated patient in a variety of settings. This comprehensive text is designed to provide all the content and tools nurses and other clinicians need to demonstrate competency in moderate sedation and analgesia. Additionally, this user-friendly text is written by well-known sedation/analgesia expert, Michael Kost and recommended by standards of practice from the ANA, AORN, and the American Academy of Pediatrics. New clinically focused text ensures clinicians involved in the administration and management of patients receiving moderate sedation have access to the most up-to-date information. Strong safety focus throughout the book explains how technology and clinician practice can improve sedation administration. Chapters organized in clinical problem/question plus answer format help you easily comprehend material. Follows the latest TJC Sedation/Anesthesia Guidelines ensuring you are ready for medication administration in clinical practice. Pediatrics and Geriatrics chapters cover specific sedation practice recommendations that address the substantive clinical practice challenges associated with these patient populations. Pharmacologic profiles of medications detail their use in the moderate sedation practice setting.

Essential Emergency Procedural Sedation and Pain Management

Author : Rahim Valani
Publisher : Lippincott Williams & Wilkins
ISBN 13 : 1451155042
Total Pages : 366 pages
Book Rating : 4.4/5 (511 download)

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Book Synopsis Essential Emergency Procedural Sedation and Pain Management by : Rahim Valani

Download or read book Essential Emergency Procedural Sedation and Pain Management written by Rahim Valani and published by Lippincott Williams & Wilkins. This book was released on 2012-10-16 with total page 366 pages. Available in PDF, EPUB and Kindle. Book excerpt: Procedural sedation is commonly used in the emergency department for patients undergoing painful procedures such as fracture reduction or electrical cardioversion. The fourth volume in the Essential Emergency Medicine series, Essential Emergency Procedural Sedation and Pain Management provides a unique interprofessional perspective on delivering procedural sedation and analgesia. The book is designed for staff physicians, residents, nurses, professionals, and allied health care workers. Although procedural sedation is commonly employed and recognized as a required skill set for emergency physicians, there is a lack of appropriate education in the area, and this book bridges gaps in training, especially in the interprofessional team setting.

Moderate Sedation/Analgesia

Author : Michael Kost
Publisher : Elsevier Health Sciences
ISBN 13 : 9780721603247
Total Pages : 358 pages
Book Rating : 4.6/5 (32 download)

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Book Synopsis Moderate Sedation/Analgesia by : Michael Kost

Download or read book Moderate Sedation/Analgesia written by Michael Kost and published by Elsevier Health Sciences. This book was released on 2004-02-27 with total page 358 pages. Available in PDF, EPUB and Kindle. Book excerpt: This 2nd edition focuses on the preprocedural, procedural, and postprocedural care of the moderately sedated patient. It is designed for any clinician involved in the administration of moderate sedation and written by a clinician involved in the practice on a daily basis. The primary focus of this new edition is to provide all the content and tools necessary to demonstrate competency in moderate sedation/analgesia. Includes a greater focus on the core competencies necessary for clinical practice. Concept Checks are integrated throughout to help the learner assess the mastering of the content presented. Includes the recommended standards of practice from the ANA, AORN, American Academy of Pediatrics, and JCAHO's Sample Policies & Procedures. Contains sample clinical competencies for moderate sedation so the book can be used as a study guide and measurement tool. Incorporates throughout important information on the specific moderate sedation parameters of the pediatric and geriatric patients addressing preprocedural assessment, physiologic variations, pharmacologic considerations and sedative techniques. Includes a comprehensive pharmacologic profile of each medication used in the moderate sedation practice setting. Follows a recommended 'core curriculum' format, but each idea and concept are discussed in detail. Increased integration of actual Clinical Scenarios facilitates the application of content knowledge and utilization of critical thinking skills. Integration of herbal preparations and their impact on pre-sedation care. Latest JCAHO Sedation/Anesthesia Guidelines (2004) incorporated throughout. A larger trim size (8.5 x 11) provides more of a 'manual' feel and allows the reader to make notes and work through various tools throughout the book.

Clinical Pathways in Emergency Medicine

Author : Suresh S David
Publisher : Springer
ISBN 13 : 8132227107
Total Pages : 823 pages
Book Rating : 4.1/5 (322 download)

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Book Synopsis Clinical Pathways in Emergency Medicine by : Suresh S David

Download or read book Clinical Pathways in Emergency Medicine written by Suresh S David and published by Springer. This book was released on 2016-05-23 with total page 823 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book aims to provide condensed and crystallised knowledge, providing the rationale for investigations and interventions. Emergency medicine is a specialty where time and knowledge are critical factors in deciding appropriate management which could otherwise result in loss of life or limb. The challenge often is to have lucid management plans, whilst standing at the bedside of the patient. In order to address this challenge, a manuscript is needed which aims to enhance the clinical skills of the emergency physician. The objective of this book is to compile a road map for practitioners of emergency medicine, which would guide them through algorithm-based pathways. This format is distinctive by nature for its concise presentation, which facilitates easy reading and early application. Written by global experts, this book aims to be a truly international representation of emergency physicians who have come together to deliver contemporary concepts in emergency patient care.

The Pediatric Procedural Sedation Handbook

Author : Cheryl K. Gooden
Publisher : Oxford University Press
ISBN 13 : 0190659130
Total Pages : 529 pages
Book Rating : 4.1/5 (96 download)

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Book Synopsis The Pediatric Procedural Sedation Handbook by : Cheryl K. Gooden

Download or read book The Pediatric Procedural Sedation Handbook written by Cheryl K. Gooden and published by Oxford University Press. This book was released on 2018-10-19 with total page 529 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Pediatric Procedural Sedation Handbook provides a comprehensive but concise review of the essential information needed to allow for the safe practice of pediatric procedural sedation. Written by a group of multidisciplinary authors, this text explores the fundamentals of sedation, procedural sedation, special patient considerations, diagnostic and therapeutic procedures, and more. Each chapter offers a starting point and suggestions for further in-depth study of all aspects of providing safe, effective, multidisciplinary-team based sedation care for children undergoing testing and procedures outside of an operating room setting. Appendices providing medication dosing and delivery route suggestions complement the text and can be used for quick reference. This book is a must-read for any clinician involved in modern, team-based patient-centered care, including physicians, nurses, dentists, and child life specialists. Editors and authors are members of the Society of Pediatric Sedation, a multidisciplinary society dedicated to the advance of pediatric sedation by promoting safe, high quality care, innovative research, and quality professional education.

Moderate and Deep Sedation in Clinical Practice

Author : Richard D. Urman
Publisher : Cambridge University Press
ISBN 13 : 1316626644
Total Pages : 385 pages
Book Rating : 4.3/5 (166 download)

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Book Synopsis Moderate and Deep Sedation in Clinical Practice by : Richard D. Urman

Download or read book Moderate and Deep Sedation in Clinical Practice written by Richard D. Urman and published by Cambridge University Press. This book was released on 2017-10-12 with total page 385 pages. Available in PDF, EPUB and Kindle. Book excerpt: A concise, practical handbook giving up-to-date, evidence-based, 'how-to' guidance on safe and effective procedural sedation.

An Introduction to Clinical Emergency Medicine

Author : S. V. Mahadevan
Publisher : Cambridge University Press
ISBN 13 : 0521747767
Total Pages : 911 pages
Book Rating : 4.5/5 (217 download)

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Book Synopsis An Introduction to Clinical Emergency Medicine by : S. V. Mahadevan

Download or read book An Introduction to Clinical Emergency Medicine written by S. V. Mahadevan and published by Cambridge University Press. This book was released on 2012-04-10 with total page 911 pages. Available in PDF, EPUB and Kindle. Book excerpt: Fully-updated edition of this award-winning textbook, arranged by presenting complaints with full-color images throughout. For students, residents, and emergency physicians.

2022 Hospital Compliance Assessment Workbook

Author : Joint Commission Resources
Publisher :
ISBN 13 : 9781635852448
Total Pages : pages
Book Rating : 4.8/5 (524 download)

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Book Synopsis 2022 Hospital Compliance Assessment Workbook by : Joint Commission Resources

Download or read book 2022 Hospital Compliance Assessment Workbook written by Joint Commission Resources and published by . This book was released on 2021-12-30 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:

Critical Care Sedation

Author : Angelo Raffaele De Gaudio
Publisher : Springer
ISBN 13 : 3319593129
Total Pages : 267 pages
Book Rating : 4.3/5 (195 download)

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Book Synopsis Critical Care Sedation by : Angelo Raffaele De Gaudio

Download or read book Critical Care Sedation written by Angelo Raffaele De Gaudio and published by Springer. This book was released on 2018-01-23 with total page 267 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book provides a comprehensive guide to delivering analgesia and sedation to critically ill patients for professionals and caregivers being involved in the management of these patients. It discusses and explains in detail the advantages and limitations of each drug and device using clear flowcharts, diagrams and tables. Furthermore, it explores the new drugs and – above all – new sedation delivery systems, particularly those for administering volatile anesthetics on ICUs. This book is a valuable and practical resource for anesthesists, intensivists and emergency physicians interested in sedation.

Acute Pain Management

Author : Raymond S. Sinatra
Publisher : Cambridge University Press
ISBN 13 : 0521874912
Total Pages : 729 pages
Book Rating : 4.5/5 (218 download)

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Book Synopsis Acute Pain Management by : Raymond S. Sinatra

Download or read book Acute Pain Management written by Raymond S. Sinatra and published by Cambridge University Press. This book was released on 2009-04-27 with total page 729 pages. Available in PDF, EPUB and Kindle. Book excerpt: This textbook provides an overview of pain management useful to specialists as well as non-specialists, surgeons, and nursing staff.

Postoperative Pain Management

Author : F. Michael Ferrante
Publisher :
ISBN 13 :
Total Pages : 720 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Postoperative Pain Management by : F. Michael Ferrante

Download or read book Postoperative Pain Management written by F. Michael Ferrante and published by . This book was released on 1993 with total page 720 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Anesthesia Outside of the Operating Room

Author : Richard Urman
Publisher : Oxford University Press
ISBN 13 : 019984268X
Total Pages : 379 pages
Book Rating : 4.1/5 (998 download)

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Book Synopsis Anesthesia Outside of the Operating Room by : Richard Urman

Download or read book Anesthesia Outside of the Operating Room written by Richard Urman and published by Oxford University Press. This book was released on 2011-03-07 with total page 379 pages. Available in PDF, EPUB and Kindle. Book excerpt: Anesthesia Outside of the Operating Room is a comprehensive, up-to-date textbook that covers all aspects of anesthesia care in OOR settings, from financial considerations to anesthetic techniques to quality assurance. With increasing numbers of procedures such as cardiac catheterization and imaging taking place outside of the main OR, anesthesia providers as well as non-anesthesia members of the patient care team will find this book critical to their understanding of the principles of anesthesia care in unique settings which may have limited physical resources. Topics include patient monitoring techniques, pre-procedure evaluation and post-procedure care, and procedural sedation performed by non-anesthesia providers. The authors address problems of anesthesia that have unique answers in OOR settings, such as patient transport and cardiac arrest, and discuss technological progress and considerations for the future. The text also covers surgical procedures and anesthetic considerations by procedure location, such as radiology, infertility clinics, field and military environments, and pediatric settings, among many others Select guidelines from the American Society of Anesthesiologists (ASA) are provided as well. Edited by the senior faculty from Harvard Medical School and with contributions from other academic institutions, Anesthesia Outside of the Operating Room provides a unique and convenient compendium of expertise and experience.

Bedside Procedures in the ICU

Author : Florian Falter
Publisher : Springer Science & Business Media
ISBN 13 : 1447122593
Total Pages : 208 pages
Book Rating : 4.4/5 (471 download)

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Book Synopsis Bedside Procedures in the ICU by : Florian Falter

Download or read book Bedside Procedures in the ICU written by Florian Falter and published by Springer Science & Business Media. This book was released on 2011-12-08 with total page 208 pages. Available in PDF, EPUB and Kindle. Book excerpt: This handbook is a guide to best practice in interventions commonly encountered in the ICU. It is clinically orientated providing :step-by-step explanations and illustrations of most invasive procedures, check lists to make sure the indication is right, check lists to ensure appropriate assessment once the procedure has been carried out. The information is easily accessible providing practical advice and essential background for every member of the multi-disciplinary team caring for critically ill patients. It will serve the senior consultant who has not performed a procedure for some time as well as the junior doctor in need of an aide memoire.

Oxford Textbook of Anaesthesia for Oral and Maxillofacial Surgery

Author : Ian Shaw
Publisher : Oxford University Press, USA
ISBN 13 : 0199564213
Total Pages : 357 pages
Book Rating : 4.1/5 (995 download)

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Book Synopsis Oxford Textbook of Anaesthesia for Oral and Maxillofacial Surgery by : Ian Shaw

Download or read book Oxford Textbook of Anaesthesia for Oral and Maxillofacial Surgery written by Ian Shaw and published by Oxford University Press, USA. This book was released on 2010-06-24 with total page 357 pages. Available in PDF, EPUB and Kindle. Book excerpt: Part of the Oxford Textbooks in Anaesthesia series, this book provides a comprehensive and detailed overview of all aspects of anaesthesia for oral and maxillofacial surgery. This area represents one of the most common indications for anaesthesia worldwide and an understanding of this subject is key to the safe practice of anaesthesia.

Neonatal Anesthesia

Author : Jerrold Lerman
Publisher : Springer Nature
ISBN 13 : 3031253582
Total Pages : 653 pages
Book Rating : 4.0/5 (312 download)

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Book Synopsis Neonatal Anesthesia by : Jerrold Lerman

Download or read book Neonatal Anesthesia written by Jerrold Lerman and published by Springer Nature. This book was released on 2023-06-26 with total page 653 pages. Available in PDF, EPUB and Kindle. Book excerpt: Since publication of the first edition in 2015, neonatal anesthesia and surgery have advanced at lightning speed with many new developments, hence the need to update several essential topics. These include our understanding of neonatal apoptosis, the ever-increasing use of regional anesthesia in neonates, pharmacology of drugs in neonates, the delivery of anesthesia outside the operating room, neonatal resuscitation/guidelines, and perinatal complexities such as the EXIT procedure together with the fundamental principles of developmental physiology, airway management and ventilation as well as perioperative complications and ethical considerations that are unique to this age group. This comprehensive and well-illustrated book is led by Dr. Jerrold Lerman who brings four decades of research, publication and clinical experience in pediatric and neonatal anesthesia. He has amassed a team of recognized international experts in neonatal anesthesia, surgery, and intensive care to share their knowledge in managing neonates for the challenges they face both within and without the surgical suites. Neonatal Anesthesia, the 2nd edition, is the quintessential clinical reference for perioperative care of these small patients that should be read by trainees as well as experienced clinicians and is certain to become an invaluable resource for every anesthetic and critical care department that serves children. Reviews from the 1st edition: “Lerman’s book stands alone as an up-to-date text dedicated exclusively to the practice of anesthesia in neonates ... . The text covers its subject matter in extraordinary breadth and depth. ... Throughout the book there are illustrative and clinically relevant diagrams, nicely supporting and summarizing relevant text for the more visual learner. ... Neonatal Anesthesia is a sophisticated but approachable text that offers its readers theory-based practical approaches to understanding and managing anesthesia in our youngest, most fragile patient population.” (Stephanie A. Black and Lynne G. Maxwell, Anesthesiology, Vol. 125 (3), 2016) “It is a long-awaited contribution to the literature, filling a gap of over a decade without a neonatal anaesthesia textbook. ... textbook should hold an essential and required spot on the bookshelf of any anaesthetist or critical care physician who cares for neonates. ... The reference lists are comprehensive and exhaustive. Dr Lerman should be commended for finally presenting the anaesthesia community worldwide with this textbook, which will be able to stand on its own, probably for the next decade.” (K. P. Mason, British Journal of Anaesthesia, Vol. 116 (4), 2016) “This book covers in 400-plus pages and 17 chapters most of what is known about the neonatal airway, physiology, drugs and anesthetics, with separate chapters on each subcategory of neonatal anesthesia. ... Certainly pediatric surgeons, anesthesiologists who only occasionally care for children, students, residents, and fellows will appreciate this book. ... This is a large book on a narrow topic that has increasing relevance to the field of current pediatric practice. It is well written, well illustrated, and highly useful.” (Robert M. Arensman, Doody’s Book Reviews, April, 2015) “The book has many outstanding chapters that have been thoughtfully crafted by leading researchers in specific fields. ... this book is an essential addition to any pediatric anesthesiology library in any organization that provides care to neonates. This book is an excellent resource, not only for anesthesiologists at every level of training and expertise but also for other professionals who provide postoperative care, administer sedative drugs, control the airway, and undertake procedures in newborn infants.” (Carolyne Montgomery and J. Mark Ansermino, Canadian Journal of Anesthesia, Vol. 62, 2015)