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Procedural Sedation Fundamentals

Build the judgment to assess, sedate, monitor, and recover patients safely through moderate procedural sedation.

What this track covers

This track covers the full arc of procedural sedation: pre-sedation patient assessment and risk stratification, agent selection and titration strategy, continuous monitoring and depth-of-sedation assessment, and recognition and management of sedation-related complications. It is intended for clinicians who perform or supervise moderate sedation outside the operating room.

What you will practice

  • Apply ASA physical status classification to determine sedation candidacy
  • Select and sequence sedative and analgesic agents based on procedure and patient factors
  • Interpret continuous monitoring data to track sedation depth in real time
  • Recognize early signs of respiratory depression or airway compromise
  • Decide when to use reversal agents versus airway rescue maneuvers

Simulator scenario

A timed case where a patient becomes progressively hypoxic and hypotensive during a routine sedation, requiring the clinician to recognize the complication and choose the correct escalation pathway.

Board question topics

  • ASA classification and patient selection
  • Sedation depth assessment and monitoring standards
  • Recognition of respiratory depression during sedation
  • Reversal agent selection and airway rescue decisions

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