Sedative selection in procedural sedation and their effects on emergency department bed turnover time Han Lin, Matt Bamber, Drew Kessell, Josh Depew, Andrew Krupp FirstHealth Moore Regional Hospital - Pinehurst, NC
Background/Purpose: Emergency departments experience long wait times, often dependent on bed availability. One of our goals as a hospital system is to reduce the turnover times in the ED._x000D_ _x000D_ In order to reduce wait times for all patients, we looked at our procedural sedation services. In procedural sedation, a short acting sedative or dissociative agent is administered that allows the patient to tolerate unpleasant procedures while maintaining cardiorespiratory function. We wanted to discover the most ideal agent for the quickest turnover time.
Methodology: This study is an IRB approved, retrospective chart review. The electronic medical record system identified patients who underwent procedural sedation from July 2015 to June 2017. Sedative agents examined was limited to: intravenous propofol, etomidate, ketofol, and ketamine. _x000D_ _x000D_ Patient demographics as well as procedure details were collected. These include the drug administered, dose, as well as time data points: procedure, sedation, turnover, and mismatch time.
Presentation Objective: The objective of this study is to determine the effect of agent selection on discharge time in the emergency department.
Self-Assessment: Which sedative is associated with the longest bed turnover time?
