Successful implementation of a radiology sedation service staffed exclusively by pediatric emergency physicians

Pediatrics
Jay Pershad, Barry Gilmore

Abstract

As the number of diagnostic imaging studies performed has increased, the demand for sedation in support of these radiologic tests has also increased. Our objectives were to (1) assess the safety and efficacy of a radiology sedation service that is staffed exclusively by pediatric emergency medicine (PEM) physicians, (2) determine the frequency and the type of commonly performed pediatric imaging studies that require procedural sedation, and (3) assess the average duration of procedural sedation for commonly performed radiologic studies. We conducted a retrospective observational study of patient encounters in 2004 involving procedural sedation to facilitate diagnostic imaging. We are a university-affiliated group of PEM physicians that provide a radiology sedation service during weekdays at a freestanding urban children's hospital. The sedation service participated in 1285 patient encounters during the study period. Deep sedation was provided to 1027 patients. Moderate sedation was administered to 258 patients. Procedural sedation times for the most frequently performed imaging studies ranged from 5 to 183 minutes. Agents that were used to provide deep sedation were pentobarbital (with midazolam, fentanyl, or both) in 65% of ca...Continue Reading

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Citations

Oct 29, 2010·International Journal of Pediatrics·David Gozal, Keira P Mason
Jan 31, 2012·Simulation in Healthcare : Journal of the Society for Simulation in Healthcare·Leo KobayashiGregory D Jay
Jul 11, 2007·Current Opinion in Anaesthesiology·James H Hertzog, Jeana E Havidich
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Apr 7, 2015·Simulation in Healthcare : Journal of the Society for Simulation in Healthcare·Nathan A SiegelGregory D Jay
Sep 27, 2006·Anesthesia and Analgesia·Randall C Wetzel
Feb 27, 2010·Pediatric Radiology·Amanda J CarterRobert S Ware

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