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Recommendations for procedural sedation in infants, children, and adolescents

Kristina Krmpotic1, Michael J Rieder1, David Rosen1

  • 1Canadian Paediatric Society, Acute Care Committee; Drug Therapy and Hazardous Substances Committee, Ottawa, Ontario.

Paediatrics & Child Health
|March 22, 2021
PubMed

Insights

Safe procedural sedation for pediatric patients involves careful patient selection, emergency preparedness, and continuous monitoring. Clinicians must be skilled in airway management and resuscitation within a robust hospital safety program.

Area of Science:

  • Pediatric Anesthesiology
  • Patient Safety
  • Clinical Guidelines

Background:

  • Pediatric patients frequently need sedation and analgesia for non-operating room procedures.
  • Ensuring patient safety during these procedures is paramount.

Purpose of the Study:

  • To review the literature on procedural sedation in pediatric patients.
  • To provide recommendations for preventing adverse events.

Main Methods:

  • Literature review focusing on patient selection, emergency preparedness, and monitoring.
  • Analysis of best practices for safe procedural sedation delivery.

Main Results:

  • Effective prevention of adverse events relies on appropriate patient selection.
  • Thorough preparation for emergencies and diligent monitoring are crucial.
  • Competent clinicians and strong institutional safety programs are essential.

Conclusions:

  • Procedural sedation requires clinicians skilled in airway management and resuscitation.
  • Hospitals must implement institutional policies for safe pediatric procedural sedation.
  • Active quality assurance and safety initiatives are vital.

Keywords:
Adverse eventAnalgesiaProcedural sedation

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