A pediatric sedation/anesthesia program with dedicated care by anesthesiologists and nurses for procedures outside the operating room

The Journal of Pediatrics
David GozalYaacov Gozal

Abstract

To examine the performance of a pediatric sedation team working according to a specific protocol and to assess parental satisfaction with the service. A descriptive observational study of all procedures performed by the sedation team (comprising sedation-trained pediatric intensive care nurses and dedicated anesthesiologists) in a university hospital over 6 years. Data collected included demographics, procedure and location, sedation staff present, sedation failure, drugs used, requirements for escalation of sedation, complications, and parental satisfaction. Sedation was provided for 8760 procedures in 5554 children. The sedation nurse started 1769 (20%) procedures using triclofos sodium and required the assistance of the anesthesiologist in 115 (6.5%) cases. The remaining 6991 (80%) cases were performed by the anesthesiologist, predominantly using propofol (in 72.5% of cases). No cases were deferred as a result of insufficient sedation. Adverse events were recorded in 153 (1.7%) children. Of these, 132 (86%) were mild decreases in oxygen saturation. Three children were not discharged as a result of oversedation. Feedback indicated that 95% of parents were very satisfied with the sedation service. A dedicated sedation team usi...Continue Reading

References

Jan 1, 1994·Respiration; International Review of Thoracic Diseases·N MilmanA Jørgensen
Oct 1, 1995·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·A P PohlgeersL Keegan-Jones
May 1, 1997·AJR. American Journal of Roentgenology·J C EgelhoffT D Parks
Sep 2, 1998·Pediatrics·L LowrieC Lacombe
Feb 2, 1995·Children's Health Care : Journal of the Association for the Care of Children's Health·L M DahlquistD J Fernbach
Mar 24, 2000·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·B MacManus
Mar 24, 2000·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·D S BeebeK G Belani
Mar 30, 2000·The New England Journal of Medicine·B Krauss, S M Green
Aug 6, 2000·The New England Journal of Medicine·B C McClainZ N Kain
Apr 20, 2002·Anesthesiology·UNKNOWN American Society of Anesthesiologists Task Force on Sedation and Analgesia by Non-Anesthesiologists
Jun 11, 2002·Journal of Developmental and Behavioral Pediatrics : JDBP·Janet E RennickJudith A Ritchie

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Citations

Aug 27, 2013·Cancer radiothérapie : journal de la Société française de radiothérapie oncologique·C VigneronG Noël
Mar 10, 2005·The Journal of Pediatrics·Egidio BarbiAlessandro Ventura
Jul 16, 2013·Teaching and Learning in Medicine·Gregory A HollmanJoseph P Cravero
May 4, 2006·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Wendalyn K KingNaghma S Khan
Jul 9, 2004·The Journal of Pediatrics·Myron Yaster, Joseph P Cravero
Oct 29, 2010·International Journal of Pediatrics·David Gozal, Keira P Mason
Aug 25, 2006·Pediatric Hematology and Oncology·Sven GottschlingNorbert Graf
Mar 9, 2010·Journal of Clinical Anesthesia·Vincent K LewTonya M Palermo
Sep 10, 2005·Pediatric Annals·Charles J Coté
Jul 4, 2007·The American Journal of Emergency Medicine·Keven O CutlerBarry Gilmore
Nov 29, 2005·Anesthesiology Clinics of North America·Venkat Shankar, Jayant K Deshpande
Nov 29, 2005·Anesthesiology Clinics of North America·Andrew T Costarino, Jayant K Deshpande
Mar 16, 2007·Paediatric Anaesthesia·Paulo Sérgio Lucas da SilvaWerther Brunow de Carvalho
Dec 15, 2010·Child: Care, Health and Development·M SalmelaS Salanterä
Dec 5, 2012·International Journal of Radiation Oncology, Biology, Physics·Jeffrey C BuchsbaumPeter A S Johnstone
Feb 25, 2014·Radiotherapy and Oncology : Journal of the European Society for Therapeutic Radiology and Oncology·Pascal Owusu-AgyemangVivian Porche
Jul 29, 2008·Current Opinion in Anaesthesiology·David Gozal, Yaacov Gozal
Jul 11, 2006·Current Opinion in Anaesthesiology·Kirk Lalwani
Jul 22, 2017·Pediatrics International : Official Journal of the Japan Pediatric Society·Takahisa KimiyaTakao Takahashi
Jul 29, 2008·Current Opinion in Anaesthesiology·Marc Van de VeldeMarina Kuypers
Mar 15, 2006·Current Opinion in Anaesthesiology·Ronald S Litman
Mar 15, 2006·Current Opinion in Anaesthesiology·Charlotte Bell, Patricia M Sequeira
Mar 15, 2006·Current Opinion in Anaesthesiology·Mark D Twite, Robert H Friesen
Jul 12, 2019·Paediatric Drugs·Eytan KaplanElhanan Nahum
Apr 18, 2009·Anesthesia and Analgesia·Ruth E WachtelAngella J Dow
Mar 31, 2015·Paediatric Anaesthesia·Patricia D ScherrerUNKNOWN Pediatric Sedation Research Consortium
Oct 16, 2012·Paediatric Anaesthesia·Arun K ThevarajaMayank Aggarwal
Nov 3, 2020·Anesthesiology and Pain Medicine·Thitima SirimontakanNattachai Anantasit

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