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Screening of Children for Procedural Sedation Outside the Operating Room

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Sedation and Analgesia for the Pediatric Intensivist

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Abstract

Procedural sedation of children outside the operating room is common. Physician-nurse sedation teams must efficiently and accurately assess each child’s risk profile and decide which child is appropriate for procedural sedation versus anesthesia; however, evidence-based tools are lacking to objectively assess a child’s risk of adverse events during procedural sedation outside of the operating room. In this chapter, we review the data for the most common factors associated with failure to complete sedation and same-day cancellation of procedures due to an increase in frequency of sedation-related adverse events. To improve pediatric sedation efficiency, a framework for assessing risk with suggested scoring systems is described to help sedation providers decide which children, both in the hospital and outpatient settings, would be better suited for general anesthesia versus procedural sedation.

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Authors and Affiliations

  1. Pediatrics, Emory University School of Medicine/Children’s Healthcare of Atlanta at Egleston, Atlanta, GA, USA

    Jocelyn R. Grunwell

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  1. Jocelyn R. Grunwell
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Correspondence to Jocelyn R. Grunwell .

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Editors and Affiliations

  1. Associate Professor of Pediatrics, Emory University School of Medicine, Department of Pediatrics, Division of Pediatric Critical Care Medicine, Children’s Healthcare of Atlanta at Egleston, Atlanta, GA, USA

    Pradip P. Kamat

  2. Professor of Pediatrics/Pediatric Critical Care, University of Louisville, “Just For Kids” Critical Care Center, Norton Children’s Hospital, Louisville, KY, USA

    John W. Berkenbosch

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Grunwell, J.R. (2021). Screening of Children for Procedural Sedation Outside the Operating Room. In: Kamat, P.P., Berkenbosch, J.W. (eds) Sedation and Analgesia for the Pediatric Intensivist. Springer, Cham. https://doi.org/10.1007/978-3-030-52555-2_25

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  • DOI: https://doi.org/10.1007/978-3-030-52555-2_25

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