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Pediatric Procedural Sedation in the Emergency Setting

Elizabeth A Lucich1,2, Nicholas S Adams1,2, Paige C Goote3

  • 1Michigan State University College of Human Medicine, Grand Rapids, Mich.

Plastic and Reconstructive Surgery. Global Open
|May 23, 2020
PubMed

Insights

Procedural sedation in pediatric emergency departments is generally safe. While longer sedation times slightly increase complication risk, no specific duration showed a significant increase in adverse events.

Area of Science:

  • Pediatric Emergency Medicine
  • Anesthesiology
  • Patient Safety

Background:

  • Pediatric emergency department visits frequently involve procedures requiring sedation.
  • Adverse events associated with pediatric procedural sedation are well-researched, but sedation duration's impact is less understood.

Purpose of the Study:

  • To determine the complication rate and severity of pediatric procedural sedation.
  • To investigate the correlation between sedation duration and the risk of complications.

Main Methods:

  • Retrospective study of 1,814 pediatric patients receiving sedation from August 2011 to August 2016.
  • Analysis included patient demographics, procedure type, sedation details, and complications.
  • Logistic regression assessed risk factors, with sedation time as a key variable.

Main Results:

  • The overall complication rate was 3.9% (70 patients).
  • Median sedation time was 20 minutes.
  • Sedation time was a significant predictor of complications (OR: 1.021; 95% CI, 1.004-1.039), even after controlling for other factors.

Conclusions:

  • Procedural sedation in pediatric emergency departments is safe.
  • Longer procedural sedations show a slight increase in risk, but no specific duration significantly elevates complication risk.
  • The study supports the continued safe use of procedural sedation in pediatric EDs.
Abstract

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