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Procedural sedation in the pediatric patient.
Venkat Shankar1, Jayant K Deshpande
1Pediatric Sedation Service, Division of Pediatric Critical Care Medicine, Monroe Carell Jr. Children's Hospital, Vanderbilt University, Nashville, TN 37232-9075, USA. venkat.shankar@vanderbilt.edu
Anesthesiology Clinics of North America
|November 29, 2005
Summary
Procedural sedation for children is increasingly needed due to heightened awareness of procedure-related anxiety. Advances in sedatives, monitoring, and regulations enable safer, efficient sedation systems outside operating rooms.
Area of Science:
- Pediatric Anesthesiology
- Sedation Management
Background:
- Growing awareness of procedure-related anxiety in pediatric patients, including infants.
- Increasing demand for safe and effective procedural sedation in children.
Purpose of the Study:
- To describe the evolution of procedural sedation systems for children.
- To highlight advancements enabling safe, effective, and resource-efficient sedation outside the operating room.
Main Methods:
- Review of developments in short-acting sedatives.
- Analysis of improved patient monitoring techniques.
- Examination of new regulatory requirements for procedural sedation.
Main Results:
- Development of new paradigms for procedural sedation.
- Establishment of safe, effective, and resource-efficient sedation systems.
- Expansion of procedural sedation delivery by anesthesiologists and nonanesthesiologists.
Conclusions:
- Procedural sedation systems for children have evolved significantly.
- Current systems offer safe, effective, and resource-efficient sedation options.
- Anesthesiologists and nonanesthesiologists play key roles in modern procedural sedation.