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The Anesthesia-Directed Sedation Service: Models, Protocols, and Challenges

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Pediatric Sedation Outside of the Operating Room

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Abstract

Anesthesiologists have made significant contributions to the specialty of pediatric sedation. In 1985, the first sedation guidelines were published by the American Academy of Pediatrics (AAP), with an anesthesiologist as the leading author. Although anesthesiologists may have led the pediatric sedation movements for the first two decades following this AAP publication, over the most recent decade, non-anesthesiologists have begun to replace anesthesiologists in some of the leading roles. In fact, anesthesia-directed sedation models may be on the decline. In 2005, only half of the respondents of a North American survey indicated that they had a formal sedation service. Only 26 % of institution-based sedation services involved either pediatric or general anesthesiologists.

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Authors and Affiliations

  1. Pediatric Anesthesia, Critical Care Medicine, Department of Anesthesia, University of Iowa Children’s Hospital, Iowa City, IA, USA

    Joss Thomas M.D., M.P.H., F.C.C.P.

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  1. Joss Thomas M.D., M.P.H., F.C.C.P.
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Correspondence to Joss Thomas M.D., M.P.H., F.C.C.P. .

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  1. Department of Anesthesiology, Harvard Medical School, Boston, Massachusetts, USA

    Keira P. Mason

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Thomas, J. (2015). The Anesthesia-Directed Sedation Service: Models, Protocols, and Challenges. In: Mason, K. (eds) Pediatric Sedation Outside of the Operating Room. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-1390-9_14

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