Safety and quality in paediatric procedural sedation: what really matters?

Author:

Röher Katharina1,Becke-Jakob Karin2,Eich Christoph3

Affiliation:

1. Department of Anesthesiolgy, University Medical Center Hamburg-Eppendorf, Hamburg

2. Department of Anesthesia, Hospital Hallerwiese – Cnopf Children's Hospital, St.-Johannis-Mühlgasse 19, Nürnberg

3. Department of Anaesthesia, Paediatric Intensiv Care and Emergency Medicine, Auf der Bult Children’ s Hospital, Hannover, Germany

Abstract

Purpose of review This review gives an overview of the safety aspects for paediatric procedural sedation and a discussion of possibilities for optimizing structure, processes and outcomes. Recent findings Procedural sedation in paediatric patients is performed by providers of different specialties and compliance with safety standards is a basic requirement regardless of provider specialty. This includes preprocedural evaluation, monitoring, equipment and profound expertise of sedation teams. The choice of sedative medications and the possibility of incorporating nonpharmacological methods play an important role for optimal outcome. In addition, an ideal outcome from the patient's perspective includes optimized processes and clear and empathetic communication. Summary Institutions providing paediatric procedural sedation must ensure the comprehensive training of sedations teams. Furthermore, institutional standards for equipment, processes and optimal choice of medication depending on performed procedure and comorbidities of the patient must be established. At the same time, organizational and communication aspects should be considered.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Subject

Anesthesiology and Pain Medicine

Reference71 articles.

1. Neonatal sedation: more art than science;Wolf;Lancet,1994

2. Impact of provider specialty on pediatric procedural sedation complication rates;Couloures;Pediatrics,2011

3. [Quality and safe anesthesia for all children: that is their right!];Weiss;Anaesthesist,2022

4. Pediatric Procedural Sedation and Analgesia (PROSA) in the Leuven University Hospitals: an audit on efficacy and safety;Kerkhofs;Children (Basel),2022

5. The incidence and nature of adverse events during pediatric sedation/anesthesia with propofol for procedures outside the operating room: a report from the Pediatric Sedation Research Consortium;Cravero;Anesth Analg,2009

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