ACR–SIR PRACTICE PARAMETER FOR MINIMAL AND/OR MODERATE SEDATION/ANALGESIA

PREAMBLE

I. INTRODUCTION

II. QUALIFICATIONS AND RESPONSIBILITIES OF PERSONNEL

III. PATIENT SELECTION

IV. RISK FACTORS

V. PATIENT EVALUATION AND MANAGEMENT

VI. SEDATION-RELATED DOCUMENTATION

VII. DISCHARGE CRITERIA

VIII. EQUIPMENT

IX. QUALITY CONTROL AND IMPROVEMENT, SAFETY, INFECTION CONTROL, AND PATIENT EDUCATION

ACKNOWLEDGEMENTS

Writing Committee – members represent their societies in the initial and final revision of this practice parameter

ACR
Tomihama, Roger T MD, Chair
Dickey, Kevin MD
Kay, Dennis MD

SIR
Bayona Molano, Maria del Pilar MD
Kam, Anthony W MD, PhD
Khan, Arshad A MD
Salei, Aliaksei MD
Vadlamudi, Venu MD
Yu, Hyeon MD

Committee on Practice Parameters and Technical Standards

(ACR Committee responsible for sponsoring the draft through the process)

Caplin, Drew M MD, Chair

Committee on Practice Parameters – Interventional and Cardiovascular Radiology

(ACR Committee responsible for sponsoring the draft through the process)

Kaufman, Claire MD, Chair	Daly, Kevin MD	Dickey, Kevin MD	Kay, Dennis MD
Lee, Margaret H MD	Makary, Mina S MD	Marx, M Victoria MD	Noor, Amir MD
Tomihama, Roger T MD	Yeisley, Christopher MD

Larson, David B MBA, MD, Chair, Commission on Quality and Safety

Min, Robert MD, Chair, Commission on Interventional Radiology & Cardiovascular Imaging

Comments Reconciliation Committee

Chu, Sammy MD - CSC, Co-Chair	Kagetsu, Nolan MD - CSC, Chair	Bayona Molano, Maria del Pilar MD	Caplin, Drew M MD
Dickey, Kevin MD	Kam, Anthony W MD, PhD	Kaufman, Claire MD	Kay, Dennis MD
Khan, Arshad A MD	Larson, David B MBA, MD	Min, Robert MD	Salei, Aliaksei MD
Tomihama, Roger T MD	Vadlamudi, Venu MD	Yu, Hyeon MD

REFERENCES

1. Practice Guidelines for Moderate Procedural Sedation and Analgesia 2018: A Report by the American Society of Anesthesiologists Task Force on Moderate Procedural Sedation and Analgesia, the American Association of Oral and Maxillofacial Surgeons, American College of Radiology, American Dental Association, American Society of Dentist Anesthesiologists, and Society of Interventional Radiology. Anesthesiology. 2018 Mar;128(3):437-479.
2. Practice advisory on anesthetic care for magnetic resonance imaging: an updated report by the american society of anesthesiologists task force on anesthetic care for magnetic resonance imaging. Anesthesiology. 2015 Mar;122(3):495-520.
3. American College of Radiology. ACR Practice Parameter for Continuing Medical Education. Available at https://gravitas.acr.org/PPTS/GetDocumentView?docId=130+&releaseId=2
4. Coté CJ, Wilson S, Guidelines for monitoring and management of pediatric patients during and after sedation for diagnostic and therapeutic procedures: an update. Pediatrics. 2006 Dec;118(6):2587-602.
5. Rosenberg MB, Phero JC. Airway Assessment for Office Sedation/Anesthesia. Anesth Prog. 2015;62(2):74-80; quiz 80-1.
6. American College of Radiology. ACR–SIR–SPR Practice Parameter for the Reporting and Archiving of Interventional Radiology Procedures. Available at https://gravitas.acr.org/PPTS/GetDocumentView?docId=39+&releaseId=2
7. Abdullah HR, Chung F. Postoperative issues: discharge criteria. Anesthesiol Clin. 2014 Jun;32(2):S1932-2275(14)00027-5.
8. Phillips NM, Street M, Kent B, Haesler E, Cadeddu M. Post-anaesthetic discharge scoring criteria: key findings from a systematic review. Int J Evid Based Healthc. 2013 Dec;11(4):275-84.

Appendix A

Appendix B

Appendix C

Appendix D