remifentanil, target controlled infusion, procedural sedation, analgesia, recovery time, emergency department, propofol, fentanyl. procedurele sedatie, pijnstilling, hersteltijd, spoedeisende hulp.
Conditions
Interventions
There are three groups in which different PSA medication is administered.
One group gets fentanyl and propofol which is a often used combination of medication for PSA (this is the active control).Firs
Sponsors
Albert Schweitzer hospital, Dordrecht, The Netherlands
M.A.A. van Hooft
Eligibility
Inclusion criteria
Inclusion criteria: All the patients who need procedural sedation and analgesia at the emergency department or the observatorium of the Albert Schweitzer hospital location Dordwijk in Dordrecht, age 18 years and older, classified as ASA I en II.
Exclusion criteria
Exclusion criteria: Age under 18 years, hemodynamic and/or respiratory instable, classified as ASA III, IV and V, suspicion of elevated intra-cranial pressure, pregnancy, use of opiates at home, opiates administered before PSA procedure started (in the ambulance, on arrival at the emergency department), intoxication, known allergy for fentanyl propofol remifentanil soy or chicken proteins.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The recovery time ( time between last dose PSA medication and full recovery of the patient). | — |
Secondary
| Measure | Time frame |
|---|---|
| - Adverse effects, complications. - Succesfull interventions. - Satisfaction of the specialist about performing the intervention. - Adequate analgesia during procedure. - Satisfaction patient. | — |
Contacts
Public ContactM.A.A. van Hooft
Albert Schweitzer Hospital - Emergency department
Outcome results
None listed