Procedural Sedation and Analgesia (PSA) is a method of administering a sedative and sometimes analgesic (painkiller) when a patient is undergoing a procedure which could be uncomfortable and/or painful. You may receive PSA as an inpatient or outpatient.
Most procedures requiring PSA are carried out at the Department of Diagnostic and Interventional Imaging (DDll) or at Day Surgery. If you are scheduled to have your procedure done at either DDll or at Day Surgery, you are allowed to go home on the same day of your procedure. You do not need to stay overnight in the hospital.
PSA in adults is usually given directly into the vein.
Yes. A minimum of six hours of fasting is necessary before the appointment time, or as instructed by the doctor or nurse.
Fasting instructions:Please ensure that the last meal is light: plain milk (maximum one cup) with plain biscuits or plain bread (maximum two pieces). Heavy and oily meals can cause vomiting and the food can go into the lungs causing life-threatening complications.
No. In the event of acute illness, it is advisable to reschedule another appointment after consulting with your doctor in charge of your procedure.
Common medications used for PSA are Midazolam and Fentanyl.
In general, PSA is well tolerated and patients receiving PSA are monitored closely throughout the procedure. If any side effects occur, it will be treated immediately.
Advice after PSAYou may feel drowsy for a few hours following PSA.
You must have an escort to take you home if you have had a day surgery procedure.
You can resume your diet when you recover fully from PSA.
Pain relief is an important part of the procedure.
In some procedures, local anaesthetics are used to provide a satisfactory level of analgesia. This could be used alone to carry out the procedure without requiring to give any other medication.
Oral painkillers, if prescribed, should be taken as instructed.
For the subsequent 24 hours after PSA, please note the following:
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