Anesth Pain Med.  2024 Oct;19(Suppl 1):S36-S48. 10.17085/apm.24046.

Effective and safe pediatric sedation

• Jang YE
• Kim JT

• KMID: 2563585
• DOI: http://doi.org/10.17085/apm.24046

Abstract

Pediatric sedation is a crucial tool for minimizing pain and anxiety during procedures and examinations in children. However, it is not without risks. This review provides a comprehensive review of pediatric sedation, including both established practices and recent advancements. A thorough pre-procedural evaluation is crucial to mitigate these risks. Skilled healthcare professionals trained in pediatric sedation are paramount to ensure a safe and effective procedure. The choice of sedative medication depends on various factors, such as the type of procedure and the patient’s medical condition. Medications, used alone or in combination, offer sedation with varying onset times and durations. Non-pharmacological approaches can complement pharmacological sedation and further reduce potential complications. Preventing sedation-related complications requires a multidisciplinary approach. This includes collaborative decision-making, vigilant monitoring throughout the procedure, and a focus on patient safety. Recovery involves ensuring the child returns to their baseline status before discharge, following established criteria. In conclusion, successful pediatric sedation hinges on a comprehensive strategy. This strategy encompasses a thorough evaluation, skilled personnel, appropriate medication selection, vigilant monitoring, and a focus on patient safety throughout the process. By following these steps, we can minimize risks and achieve successful outcomes.

Keyword

Complications; Monitoring; Patient safety; Pediatric; Procedural sedation; Sedatives

Figure

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  Fig. 1. Procedural sedation checklist (example). URI: upper respiratory infection, OSA: obstructive sleep apnea, JRA: juvenile rheumatoid arthritis, ASA: American Society of Anesthesiologists, HR: Heart rate, BP: blood pressure, RR: respiration rate, BT: body temperature.

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