We are in the midst of a dynamic time for sedation practice
as this is probably the fastest growing area in anaesthesia
care. According to all sedation guidelines, including the
2015 SASA guidelines on PSA, we can administer PSA outside
the hospital in a medical or dental surgery, in the office,
a facility, or in sedation clinics. This versatility makes PSA
an attractive option for us.
PSA outside the hospital environment involves a multitude
of providers, and non-anaesthesiologists will be and are
part of this group. The choice of which provider delivers this
care and the techniques and drugs used, is usually specific
to each institution/country and is largely dependent on the
availability of trained providers.
In developing countries we face different challenges. There
are not enough anaesthesiologists and other healthcare
providers available to provide anaesthesia services for all
in-hospital procedures. PSA then becomes a very attractive
option for certain surgical interventions as it can be
used outside the hospital.