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Office-based deep sedation for pediatric ophthalmologic procedures using a sedation service model

Kirk Lalwani1, Matthew Tomlinson, Jeffrey Koh

  • 1Department of Anesthesiology and Peri-operative Medicine and Department of Ophthalmology, Oregon Health & Science University, 3181 SW Sam Jackson Park Road, Portland, OR 97239, USA.

Anesthesiology Research and Practice
|April 13, 2012
PubMed

Insights

Pediatric office-based sedation for eye procedures is safe and effective, significantly reducing hospital charges compared to operating room settings. This model enhances patient care and lowers costs.

Area of Science:

  • Ophthalmology
  • Pediatric Anesthesiology
  • Health Services Research

Background:

  • Sedation is crucial for pediatric procedures, immobilization during imaging, and examinations.
  • A pediatric sedation service model can facilitate office-based deep sedation for brief ophthalmologic procedures.
  • This approach aims to improve care delivery and reduce healthcare costs.

Purpose of the Study:

  • To evaluate the efficacy and safety of office-based pediatric sedation for ophthalmologic procedures.
  • To compare hospital charges of this model against traditional operating room settings.
  • To determine the cost-effectiveness of pediatric sedation services in an outpatient ophthalmology setting.

Main Methods:

  • Review of 855 office-based pediatric ophthalmologic procedures performed between January 1, 2000, and July 31, 2008.
  • Utilized sedation service database and electronic health records for data collection.
  • Compared hospital charges for similar procedures performed in the operating room.

Main Results:

  • Achieved a 100% procedure completion rate with no serious complications or unexpected admissions.
  • Demonstrated a significant reduction in hospital charges, averaging $1287 per patient.
  • Identified cost savings due to the elimination of operating room and recovery unit fees.

Conclusions:

  • Office-based pediatric sedation services are effective and safe for minor ophthalmologic procedures.
  • This model offers substantial reductions in hospital charges compared to operating room procedures.
  • Implementing a pediatric sedation service model can lead to significant cost savings in pediatric ophthalmology.

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