Sedation adverse effects
I read the article “Criteria for sedation of psychiatric patients for air transport in British Columbia” [BCMJ 2009;51:346] with great interest. I have received such patients when I was working as an in-patient psychiatrist at BC Children’s Hospital.
On page 349 the authors state, “However, to date, BCAS has not documented any adverse events due to over-sedation.” I had received a patient who was clearly suffering adverse effects, and who was unable to fully recover for several days. He was delusional at first from the sedation, not from his psychiatric condition.
I wrote to Dr Wheeler, one of the authors, and was informed that their definition of adverse events is “airway compromise, aspiration of secretions, or vomiting” so my patient did not fulfill those criteria. I think this article is misleading and should have stated that no patients had an airway compromise or aspiration.
I think the doctors of British Columbia need to know how sedated their patients are going to be, and that this can be a problem, before they make the decision to transport a patient by BCAS.
—Geoffrey Ainsworth, MD
Geoffrey Ainsworth, MD. Sedation adverse effects. BCMJ, Vol. 51, No. 10, December, 2009, Page(s) 424 - Letters.
Above is the information needed to cite this article in your paper or presentation. The International Committee
of Medical Journal Editors (ICMJE) recommends the following citation style, which is the now nearly universally
accepted citation style for scientific papers:
Halpern SD, Ubel PA, Caplan AL, Marion DW, Palmer AM, Schiding JK, et al. Solid-organ transplantation in HIV-infected patients. N Engl J Med. 2002;347:284-7.
About the ICMJE and citation styles
The ICMJE is small group of editors of general medical journals who first met informally in Vancouver, British Columbia, in 1978 to establish guidelines for the format of manuscripts submitted to their journals. The group became known as the Vancouver Group. Its requirements for manuscripts, including formats for bibliographic references developed by the U.S. National Library of Medicine (NLM), were first published in 1979. The Vancouver Group expanded and evolved into the International Committee of Medical Journal Editors (ICMJE), which meets annually. The ICMJE created the Recommendations for the Conduct, Reporting, Editing, and Publication of Scholarly Work in Medical Journals to help authors and editors create and distribute accurate, clear, easily accessible reports of biomedical studies.
An alternate version of ICMJE style is to additionally list the month an issue number, but since most journals use continuous pagination, the shorter form provides sufficient information to locate the reference. The NLM now lists all authors.
BCMJ standard citation style is a slight modification of the ICMJE/NLM style, as follows:
- Only the first three authors are listed, followed by "et al."
- There is no period after the journal name.
- Page numbers are not abbreviated.
For more information on the ICMJE Recommendations for the Conduct, Reporting, Editing, and Publication of Scholarly Work in Medical Journals, visit www.icmje.org