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Deep Sedation. This level of sedation is a drug-induced depression of consciousness during which a patient cannot be easily aroused but can respond to repeated stimulation. General Anesthesia. The combination of medications used to put patients to “sleep” before surgery or another medical procedure is called general anesthesia.
Deep sedation is medicine given during procedures or treatments to keep you asleep and comfortable. It will also prevent you from remembering the procedure or treatment. You cannot be easily woken up during deep sedation, and you may need help to breathe.
Deep Sedation/Analgesia is a drug-induced depression of consciousness during which patients cannot be easily aroused but respond purposefully** following repeated or painful stimulation. The ability to independently maintain ventilatory function may be impaired.
A minority of ICU patients have an indication for continuous deep sedation, for reasons such as the treatment of intracranial hypertension, severe respiratory failure, refractory status...
Deep sedation may be used for longer or more invasive procedures in which maintenance of respiration is desirable but akinesis is not required. Most commonly, deep sedation is achieved with a sedative or hypnotic by infusion (most commonly propofol 50–80 μg/kg/min).
There are three different levels of intravenous sedation. They are called ‘minimal’, ‘moderate’ (sometimes also called conscious sedation) and ‘deep’ sedation. However, the levels are not precise and depend on how sensitive a patient is to the medication used.
Deep sedation induces loss of consciousness and protective reflexes, and can cause respiratory depression and pulmonary aspiration. Invasive medical procedures necessitating deep sedation include cardiac ablation, endoscopic submucosal dissection, and internal radiation therapy.
Deep sedation immobilizes patients, limits communication, increases costs and mortality, and reduces the likelihood of meaningful recovery.
Monitored anaesthesia care (MAC), referred to as deep sedation, has been described as sedation and analgesia titrated to a level that preserves spontaneous breathing and airway reflexes [3] and has similar risks as general anaesthesia administered in a standard operating room (OR).
Deep sedation is a controlled state of depressed consciousness or unconsciousness where the patient is not easily awakened. It may involve a loss of protective reflexes, making it challenging for the patient to maintain an open airway and respond purposefully to stimuli.