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The Evolution of Sedation for Pediatric Gastrointestinal Endoscopy
Lisa B Mahoney1, Jenifer R Lightdale1
1Division of Gastroenterology, Hepatology and Nutrition, Boston Children's Hospital, 300 Longwood Avenue, Boston, MA 02115, USA.
Gastrointestinal Endoscopy Clinics of North America
|March 22, 2023
Summary
Pediatric endoscopy sedation has shifted to anesthesiologist support, but no ideal protocols exist. Collaboration between specialists is crucial for patient safety and procedural efficiency in pediatric sedation.
Area of Science:
- Pediatric Gastroenterology
- Anesthesiology
- Patient Safety
Background:
- Sedation for pediatric endoscopy has transitioned from endoscopist-administered to primarily anesthesiologist-supported care.
- Significant variations in sedation protocols exist, with no universally ideal approach for either endoscopist or anesthesiologist administration.
Purpose of the Study:
- To review current sedation practices for pediatric endoscopy.
- To discuss the risks and benefits of various sedation regimens.
- To emphasize the need for collaborative best practice development.
Main Methods:
- Literature review of sedation practices in pediatric endoscopy.
- Analysis of different sedation levels and their associated risks and benefits.
- Discussion of endoscopist- vs. anesthesiologist-administered sedation models.
Main Results:
- Pediatric endoscopy sedation is increasingly managed by anesthesiologists.
- No single sedation protocol is considered ideal, leading to wide practice variations.
- Sedation for pediatric endoscopy poses the highest patient safety risks.
Conclusions:
- Optimizing pediatric endoscopy sedation requires collaboration between gastroenterologists and anesthesiologists.
- Developing best practices is essential to enhance patient safety, procedural efficiency, and cost-effectiveness.
- Further research into ideal sedation regimens is warranted.
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