Level of training and outcomes in patients undergoing procedural sedation in the ED (n=1711)
| EP, n=1364 | EM resident, n=347 | ||||
|---|---|---|---|---|---|
| n* | n* | Significance | |||
| Propofol used, n (%) | 887 | 887 (65.0) | 187 | 187 (53.9) | |
| Median dose, mg/kg (IQR) | 818 | 1.1 (0.7–1.6) | 124 | 1.0 (0.5–1.5) | p=0.35 |
| Success of procedure, % (95% CI) | 866 | 94.3 (92.6 to 95.7) | 185 | 87.6 (82.0 to 91.6) | p<0.001 |
| Midazolam used, n (%) | 345 | 345 (25.3) | 154 | 154 (44.4) | |
| Median dose, mg/kg (IQR) | 275 | 0.04 (0.02–0.06) | 138 | 0.05 (0.03–0.07) | p=0.16 |
| Success of procedure, % (95% CI) | 337 | 86.1 (81.9 to 89.4) | 146 | 79.5 (72.1 to 85.3) | p=0.07 |
| Esketamine used, n (%) | 124 | 124 (9.1) | 5 | 5 (1.4) | |
| Median dose, mg/kg (IQR) | 107 | 0.46 (0.3–0.6) | † | ||
| Success of procedure, % (95% CI) | 120 | 87.5 (80.3 to 92.4) | † | ||
| Other sedatives used, n (%) | 8 | 8 (0.6) | 1 | 1 (0.3) | |
| Success of procedure, % (95% CI) | 1331 | 91.7 (90.1 to 93.0) | 337 | 84.0 (79.7 to 87.5) | p<0.001 |
| Adverse events, % of cases (95% CI) | 347 | 10.5 (9.0 to 12.2) | 1364 | 11.0 (8.1 to 14.7) | p=0.8 |
*Due to missing data, this is the total number of cases included in analysis of this variable (denominator).
†Only five cases.
EM, emergency medicine; EP, emergency physician.