Rules for conscious sedation at Presby

Intubated patients: can receive multiple doses or classes from their sedative drips. 

Non-intubated patients: 

From Hafeez (NICU Medical Director): Patients in whom you are performing a bedside procedure: EVD, lumbar drain, lumbar puncture etc OR giving medications prior to cerebral imaging, the use of 2 sedatives in different classes OR the use of 1 sedative and 1 analgesic medication at the time of the procedure or imaging constitutes conscious sedation.

Conscious sedation requires the presence of the CCM team* OR the Neurosurgical attending.

Conscious sedation is a specialized form of anesthesia that carries specific criteria for airway and hemodynamic monitoring and hospital privileges. Please be careful of what medications you order for beside procedures or imaging.

*Has to be CCM faculty. The fellows and residents can help or be there but CCM attendings have to be present.