Abstract
In a pediatrician’s practice, there are a number of indications for the provision of procedural sedation. This chapter aims to provide a framework for procedural sedation from a pediatrician’s point of view, including understanding of the practice setting, the patients, and the procedures themselves. Although written from a pediatrician’s perspective, this chapter is designed to apply to all sedation providers across specialties. Additionally, in trying to create an approach to procedural sedation, it is equally important to consider when the risks of the sedation outweigh the benefits that may be achieved by the procedure.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
American Academy of Pediatrics Committee on Drugs. Section on anesthesiology: guidelines for the elective use of conscious sedation, deep sedation, and general anesthesia in pediatric patients. Pediatrics. 1985;76:317–21.
Walco GA. Needle pain in children: contextual factors. Pediatrics. 2008;122 Suppl 3:S125–9.
Kennedy RM, Luhmann J, Zempsky WT. Clinical implications of unmanaged needle-insertion pain and distress in children. Pediatrics. 2008;122 Suppl 3:S130–3.
Krauss B, Green SM. Sedation and analgesia for procedures in children. N Engl J Med. 2000;342:938–45.
Cote CJ, Wilson S, The Work Group on Sedation. Guidelines for monitoring and management of pediatric patients during and after sedation for diagnostic and therapeutic procedures: an update. Pediatrics. 2006;118:2587–602.
Cravero JP, Blike GT, Beach M, et al. Incidence and nature of adverse events during pediatric sedation/anesthesia for procedures outside the operating room: report from the pediatric sedation research consortium. Pediatrics. 2006;118:1087–96.
Cote CJ, Karl HW, Notterman DA, et al. Adverse sedation events in pediatrics: analysis of medications used for sedation. Pediatrics. 2000;106:633–44.
Cote CJ, Notterman DA, Karl HW, et al. Adverse sedation events in pediatrics: a critical incident analysis of contributing factors. Pediatrics. 2000;105:805–14.
Flood RG, Krauss B. Procedural sedation and analgesia for children in the emergency department. Emerg Med Clin North Am. 2003;21:121–39.
Joint Commission on Accreditation of Healthcare Organizations. Comprehensive accreditation manual for hospitals: the official handbook by the JCAHO. Oakbrook Terrace, IL: Joint Commission on Accreditation of Healthcare Organizations; 2005.
Henderson K, Womack W. Noninvasive monitoring for procedural sedation. In: Krauss B, Brustowicz RM, editors. Pediatric procedural sedation and analgesia. Philadelphia, PA: Lippincott, Williams & Wilkins; 1999.
Standards for Basic Anesthetic Monitoring. Committee of Origin: standards and practice parameters (Approved by the ASA House of Delegates on October 21, 1986, and last amended on October 20, 2010 with an effective date of July 1, 2011). http://www.asahq.org/ForHealthcare-Professionals/Standards-Guidelines-and-Statements.aspx.
Cohen LL. Behavioral approached to anxiety and pain management for pediatric venous access. Pediatrics. 2008;122 Suppl 3:S134–9.
Jaanist T, Hayes B, von Bayer CL. Providing children with information about forthcoming medical procedure: a review and synthesis. Clin Psychol Sci Pract. 2007;14:124–43.
Moynihan R, Kurker C. The perioperative environment and the pediatric patient. In: Ferrari LR, editor. Anesthesia and pain management for the pediatrician. Baltimore, MD: The Johns Hopkins University Press; 1999.
McMurty CM, McGrath PJ, Fortson BL, et al. Reassurance can hurt: parental behavior and painful medical procedures. J Pediatr. 2006;148:560–1.
Zempsky WT. Pharmacologic approaches for reducing venous access pain in children. Pediatrics. 2008;122 Suppl 3:S140–53.
Burke D, Mogyoros I, Vagg R, Kiernan MC. Temperature dependence of excitability indices of human cutaneous afferents. Muscle Nerve. 1999;22:51–60.
Grassin-Delyle S, Buenestado A, Naline E, Faisy C, Blouquit-Laye S, Couderc LJ, Le Guen M, Fischler M, Devillier P. Intranasal drug delivery: an efficient and non-invasive route for systemic administration: focus on opioids. Pharmacol Ther. 2012;134(3):366–79.
Wolfe TR, Braude DA. Intranasal medication delivery for children: a brief review and update. Pediatrics. 2010;126(3):532–7.
Leahy S, Kennedy RM, Hesselgrave J, et al. On the front lines: lessons learned in implementing multidisciplinary peripheral venous access pain-management programs in pediatric hospitals. Pediatrics. 2008;122 Suppl 3:S161–70.
Gasche Y, Daali Y, Fathi M, Chiappe A, Cootini S, Dayer P, et al. Codeine intoxication associated with ultrarapid CYP2D6 metabolism. N Engl J Med. 2004;351:2827–31.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2015 Springer Science+Business Media New York
About this chapter
Cite this chapter
Chiang, V.W. (2015). Procedural Sedation: Let’s Review the Basics. 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_3
Download citation
DOI: https://doi.org/10.1007/978-1-4939-1390-9_3
Published:
Publisher Name: Springer, New York, NY
Print ISBN: 978-1-4939-1389-3
Online ISBN: 978-1-4939-1390-9
eBook Packages: MedicineMedicine (R0)