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Society guideline links: Nonprocedural sedation

Society guideline links: Nonprocedural sedation

Introduction — This topic includes links to society and government-sponsored guidelines from selected countries and regions around the world. We will update these links periodically; newer versions of some guidelines may be available on each society's website. Some societies may require users to log in to access their guidelines.

The recommendations in the following guidelines may vary from those that appear in UpToDate topic reviews. Readers who are looking for UpToDate topic reviews should use the UpToDate search box to find the relevant content.

Links to related guidelines are provided separately. (See "Society guideline links: Procedural sedation in adults".)

International

Intensive Care Medicine Rapid Practice Guideline (ICMRPG): A rapid practice guideline on use of dexmedetomidine for sedation in mechanically ventilated adult ICU patients (2022)

Society of Critical Care Medicine (SCCM): Guidelines for the prevention and management of pain, agitation/sedation, delirium, immobility, and sleep disruption in adult patients in the ICU (2018)

SCCM/American Society of Health-System Pharmacists (ASHP): Guidelines for sustained neuromuscular blockade in the adult critically ill patient (2016)

Canada

Choosing Wisely Canada: Don't prolong mechanical ventilation by over-use of sedatives and bed rest (updated 2020)

United States

American College of Radiology (ACR)-Society of Interventional Radiology (SIR): Practice parameter for minimal and/or moderate sedation/analgesia (revised 2020)

Society of Critical Care Medicine (SCCM)/American Society of Health-System Pharmacists (ASHP): Guidelines for sustained neuromuscular blockade in the adult critically ill patient (2016)

Choosing Wisely: Don't deeply sedate mechanically ventilated patients without a specific indication and without daily attempts to lighten sedation (2014)

Choosing Wisely: Don't use intravenous sedation for diagnostic and therapeutic nerve blocks, or joint injections as a default practice (2014)

United Kingdom

Royal College of Radiologists (RCR): Sedation, analgesia, and anaesthesia in the radiology department, second edition (2018)

Choosing Wisely UK: Faculty of Intensive Care Medicine − Patients who are mechanically ventilated may not need to be deeply sedated, and where possible daily trials to lighten sedation should be done (2016)

Choosing Wisely UK: Royal College of Emergency Medicine − Some injuries, such as hip and shoulder dislocations, can be treated with sedation in the emergency department rather than undergoing a general anaesthetic in the operating theatre (2016)

Australia–New Zealand

Choosing Wisely Australia: Undertake daily attempts to lighten sedation in ventilated patients unless specifically contraindicated and deeply sedate mechanically ventilated patients only if there is a specific indication (2016)

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