Journal ArticleDOI
Adverse events and risk factors associated with the sedation of children by nonanesthesiologists.
TLDR
A quality assurance study prospectively completed for 1140 children sedated for procedures by nonanesthesiologists highlights the risks associated with the sedation of children and emphasizes the importance of appropriate monitoring by trained personnel.Abstract:
After implementation of hospital-wide monitoring standards, a quality assurance (QA) tool was prospectively completed for 1140 children (aged 2.96 +/- 3.7 yr) sedated for procedures by nonanesthesiologists. The tool captured data regarding demographics, medications used, adequacy of sedation, monitoread more
Citations
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Journal ArticleDOI
Guidelines for Monitoring and Management of Pediatric Patients Before, During, and After Sedation for Diagnostic and Therapeutic Procedures.
Charles J. Coté,Stephen Wilson +1 more
TL;DR: The safe sedation of children for procedures requires a systematic approach that includes no administration of sedating medication without the safety net of medical/dental supervision, careful presedation evaluation for underlying medical or surgical conditions that would place the child at increased risk from sedating medications.
Journal ArticleDOI
Anesthesia-related cardiac arrest in children: update from the Pediatric Perioperative Cardiac Arrest Registry
Sanjay M. Bhananker,Chandra Ramamoorthy,Jeremy M. Geiduschek,Karen L. Posner,Karen B. Domino,Charles M. Haberkern,John S. Campos,Jeffrey P. Morray +7 more
TL;DR: A reduction in the proportion of arrests related to cardiovascular depression due to Halothane may be related to the declining use of halothane in pediatric anesthetic practice.
Journal ArticleDOI
Procedural Sedation and Analgesia in Children
Baruch Krauss,Steven M. Green +1 more
TL;DR: The decision-making process used to determine appropriate drug selection, dosing, and sedation endpoint is discussed, and the pharmacopoeia for procedural sedation and analgesia is detailed, reviewing the pharmacology and adverse effects.
Journal ArticleDOI
Incidence and Nature of Adverse Events During Pediatric Sedation/Anesthesia for Procedures Outside the Operating Room: Report From the Pediatric Sedation Research Consortium
Joseph P. Cravero,George T. Blike,Michael L. Beach,Susan M. Gallagher,James H. Hertzog,Jeana E. Havidich,Barry Gelman +6 more
TL;DR: The data indicate that pediatric sedation/anesthesia for procedures outside the operating room is unlikely to yield serious adverse outcomes in a collection of institutions with highly motivated and organized sedation services, however, the safety of this practice depends on the systems' ability to manage less serious events.
Journal ArticleDOI
Guidelines for monitoring and management of pediatric patients during and after sedation for diagnostic and therapeutic procedures: an update
Charles J. Coté,Stephen Wilson +1 more
TL;DR: The safe sedation of children for procedures requires a systematic approach that includes no administration of sedating medication without the safety net of medical supervision and careful presedation evaluation for underlying medical or surgical conditions that place the child at increased risk from sedating medications.
References
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Journal ArticleDOI
Sedation for the Pediatric Patient: A Review
TL;DR: The Sedation Guidelines of the American Academy of Pediatrics are reviewed and emphasis is placed on monitoring and appropriate selection of drugs.
Journal ArticleDOI
Midazolam-fentanyl intravenous sedation in children: case report of respiratory arrest.
TL;DR: To achieve satisfactory sedation and analgesia, various drugs administered alone and in combination have been recommended using either an oral, intramuscular, intravenous,6-8 or a rectal route of administration.
Journal ArticleDOI
Chloral hydrate sedation of children undergoing CT and MR imaging: safety as judged by American Academy of Pediatrics guidelines.
TL;DR: Use of supplemented and unsupplemented chloral hydrate sedation provides effective and safe sedation in children if the AAP guidelines for patient selection, monitoring, and management are followed.
Journal ArticleDOI
Accidents, near accidents and complications during anaesthesia. A retrospective analysis of a 10-year period in a teaching hospital.
TL;DR: A retrospective analysis of all reports of faults, accidents, near accidents and complications associated with anaesthesia in one hospital from 1978 to 1987 finds that failure to check, lack of vigilance and inattention or carelessness were the most frequently associated factors with the rest of the reports.
Journal ArticleDOI
Efficacy, safety, and cost of intravenous sedation versus general anesthesia in children undergoing endoscopic procedures
Robert H. Squires,Robert H. Squires,Fran Morriss,Fran Morriss,Sandra Schluterman,Sandra Schluterman,Barbie Drews,Barbie Drews,Lynn Galyen,Lynn Galyen,Kendall O. Brown,Kendall O. Brown +11 more
TL;DR: Endoscopic procedures can be performed safely, effectively, and at a lower cost to the patient under intravenous sedation in a properly equipped and staffed pediatric endoscopy suite.
Related Papers (5)
Guidelines for Monitoring and Management of Pediatric Patients Before, During, and After Sedation for Diagnostic and Therapeutic Procedures.
Charles J. Coté,Stephen Wilson +1 more