Related Experiment Video

Updated: Oct 15, 2025

Guidelines for Elective Pediatric Fiberoptic Intubation
11:19

Guidelines for Elective Pediatric Fiberoptic Intubation

Published on: January 17, 2011

17.8K

Implementing Safe and Effective Pediatric Procedural Sedation in the Emergency Department

Kathleen S Jordan1, Sara H Steelman

  • 1The University of North Carolina at Charlotte, and Mid-Atlantic Emergency Medicine Associates, Charlotte, North Carolina (Dr. Jordan); and Pediatric Emergency Department, Mid-Atlantic Emergency Medicine Associates, Charlotte, North Carolina (Dr. Steelman).

Advanced Emergency Nursing Journal
|October 26, 2021
PubMed

Insights

Pediatric procedural sedation in the emergency department (ED) safely manages children's pain and anxiety during procedures. Proper training ensures effective sedation, improving patient outcomes and satisfaction.

Area of Science:

  • Emergency Medicine
  • Pediatric Care
  • Anesthesiology

Background:

  • Increasing number of diagnostic and therapeutic procedures in emergency departments (EDs).
  • Unscheduled procedures require effective management of pediatric pain, fear, anxiety, and movement.
  • Rising incidence of pediatric procedural sedations in EDs to enhance patient safety and care quality.

Purpose of the Study:

  • To provide an overview of pediatric analgesia, anxiolysis, and sedation.
  • To promote compassionate and evidence-based emergency care for children.
  • To optimize procedural performance and outcomes in pediatric patients.

Main Methods:

  • Review of current practices in pediatric procedural sedation.
  • Emphasis on education and skills verification for healthcare providers.
  • Focus on evidence-based guidelines for safe and effective sedation.

Main Results:

  • Pediatric procedural sedation can be performed safely and effectively in the ED setting.
  • Controlled pain, fear, anxiety, and movement improve procedural success and outcomes.
  • Increased patient and caregiver satisfaction is associated with effective sedation.

Conclusions:

  • Pediatric procedural sedation is a vital component of modern emergency care.
  • Adequate training and adherence to evidence-based practices are crucial for safe sedation.
  • Optimizing sedation management enhances the overall quality of pediatric emergency care.

More Related Videos

Making MR Imaging Child's Play - Pediatric Neuroimaging Protocol, Guidelines and Procedure15:18

Making MR Imaging Child's Play - Pediatric Neuroimaging Protocol, Guidelines and Procedure

Published on: July 30, 2009

18.4K
Halogenated Agent Delivery in Porcine Model of Acute Respiratory Distress Syndrome via an Intensive Care Unit Type Device09:36

Halogenated Agent Delivery in Porcine Model of Acute Respiratory Distress Syndrome via an Intensive Care Unit Type Device

Published on: September 24, 2020

2.9K

Related Concept Videos

Parenteral Anesthetics: Overview01:24

Parenteral Anesthetics: Overview

Intravenous anesthetics are drugs administered parenterally to induce anesthesia or sedation. Propofol is a widely used agent formulated as a 1% emulsion in soybean oil, glycerol, and egg phosphatide. It induces rapid anesthesia primarily due to its rapid distribution from the bloodstream to target tissues and is metabolized in the liver. However, it can cause significant pain on injection and hypertriglyceridemia. Fospropofol, a water-based prodrug of propofol, lacks these adverse effects.
329
Stages of General Anesthesia01:22

Stages of General Anesthesia

Various sedation levels offer significant advantages in facilitating procedural interventions for patients undergoing medical or invasive surgical procedures. These levels span from anxiolysis to general anesthesia, providing a spectrum of sedative effects to cater to specific patient needs. Anxiolysis reduces anxiety and is achieved through minimal sedation, enabling patients to remain awake and responsive while feeling more at ease during the procedure. This level can benefit minor...
926
Drug Delivery: Enteral Route01:18

Drug Delivery: Enteral Route

The enteral drug administration involves three primary routes: oral, sublingual, and buccal. Oral ingestion is the most prevalent, safe, economical, and convenient method for drug administration. However, it has certain drawbacks, including limited absorption due to the drug's low water solubility or poor membrane permeability, possible emesis from GI mucosa irritation, destruction of drugs by digestive enzymes or low gastric pH, and irregular absorption along with food or other drugs.
859
Depolarizing Blockers: Pharmocokinetics01:19

Depolarizing Blockers: Pharmocokinetics

Depolarizing blockers are administered through intravenous injection. Succinylcholine is the most common choice of depolarizing blockers in emergency clinical practices. Although they have a rapid onset, they readily diffuse away from the motor end plate into the extracellular fluid. They are metabolized by enzymes such as liver butyrylcholinesterase and plasma pseudocholinesterases. This produces a short duration of action, typically 5-10 minutes long, unlike nondepolarizing blockers, which...
407
Inhalational Anesthetics: Overview01:20

Inhalational Anesthetics: Overview

Inhalation anesthetics are drugs that induce general anesthesia upon inhalation. They work by increasing the sensitivity of GABAA receptors or inhibiting NMDA receptors, leading to a decrease in central nervous system activity. The depth of anesthesia can be rapidly adjusted by changing the concentration of the inhaled gas. Some common examples of inhalational anesthetics include volatile liquids like isoflurane, desflurane, sevoflurane and gases like xenon and nitrous oxide. Isoflurane, a...
582
Local Anesthetics: Clinical Application as Epidural Anesthesia01:29

Local Anesthetics: Clinical Application as Epidural Anesthesia

Epidural anesthetics are administered in the fat-filled epidural space, the outermost part of the spinal canal. This technique is commonly employed for pain management and anesthesia during lower abdomen and pelvis surgeries or labor and delivery.
Since epidural anesthetics can be infused through an epidural catheter, all types of drugs, including short-acting ones, can be administered. Chloroprocaine and lidocaine are examples of short and long-duration anesthetics, respectively. Bupivacaine...
527