Monitoring of patient observations is adequate as patients are so lightly sedated no judgement on sedation is required |
We are more interested in the level of oxygen saturations than the level of sleepiness |
Aim for amnesia not sedation |
Watch patients' response to topical lignocaine/bronchoscopy insertion/verbal commands after sedation is given |
Induce relaxation without sleep |
Titrate to drowsiness and slurred speech |
If anxious, may sedate to sleepy rather than wakeful state |
Ensure patient awake enough to talk and respond but sleepy enough to allow me to get on with it |
Assess for alertness at the end of the procedure |
Ask the patient if they are happy with the level of sedation prior to starting the procedure |