Pediatric Sedation Pearls

The practice of procedural sedation and analgesia in pediatrics is evolving rapidly. Some of our practices are backed by substantial supporting data, whereas for others, the evidence base is less well developed, leading to substantial differences in provider preferences. In addition, the multidiscip...

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Bibliographic Details
Published in:Clinical pediatric emergency medicine 2007, Vol.8 (4), p.268-278
Main Authors: Gorelick, Mark, MD, Nagler, Joshua, MD, Losek, Joseph D., MD, Bajaj, Lalit, MD, MPH, Green, Steven M., MD, Luhmann, Jan, MD, Kennedy, Robert, MD, Sacchetti, Alfred, MD, Nelson, Douglas, MD, Miner, James, MD, Pereira, Faria, MD
Format: Article
Language:English
Subjects:
adolescent patient
airway assessment
Airway management
alfentanil
Children & youth
emergence reaction
Emergency
Hospitals
ketamine
laryngospasm
nitrous oxide
Patient safety
Pediatrics
procedural sedation and analgesia
propofol
remifentanil
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Summary:The practice of procedural sedation and analgesia in pediatrics is evolving rapidly. Some of our practices are backed by substantial supporting data, whereas for others, the evidence base is less well developed, leading to substantial differences in provider preferences. In addition, the multidisciplinary nature of providing sedation and differences in local custom and regulatory requirements all contribute to a certain amount of practice variability: the “art” of sedation. To provide a forum for exploring this, we invited experts in pediatric procedural sedation to share their practices and “pearls”, combining anecdotal experience with evidence from the literature.
ISSN:1522-8401
1558-2310
DOI:10.1016/j.cpem.2007.08.007