Noninvasive positive pressure ventilation in procedural sedation

Am J Emerg Med. 2010 Jul;28(6):750.e1-3. doi: 10.1016/j.ajem.2009.11.010. Epub 2010 Mar 25.


Maintenance of spontaneous effective ventilations can present unique challenges to emergency physicians directing procedural sedation in patients with underlying anatomic or physiologic upper airway pathology. In a morbidly obese patient requiring electrical cradioversion, use of bilevel positive airway pressure facilitated deep sedation while averting any adverse respiratory complications. Noninvasive pressure support ventilation may present another emergency department adjunct for difficult procedural sedation cases.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Atrial Fibrillation / complications
  • Atrial Fibrillation / diagnosis
  • Atrial Fibrillation / therapy*
  • Deep Sedation*
  • Electric Countershock*
  • Humans
  • Male
  • Obesity, Morbid / complications*
  • Positive-Pressure Respiration*