Variation in Procedural Sedation Practices Among Children's Hospitals

Hospital Pediatrics
Mythili SrinivasanDouglas W Carlson

Abstract

Children often need procedural sedation for painful procedures. There are few data on type of provider, site of sedation, and agents used for procedural sedation in hospitals across the nation. The objective was to determine procedural sedation practices for hospitalized children outside the PICU and emergency department. Surveys were sent to 89 pediatric hospitalist (PH) leaders in hospitals belonging to the Child Health Corporation of America or the National Association of Children's Hospitals and Related Institutions. We received responses from 56 PHs (63%), of whom 49 (55%) completed the survey. PHs provided sedation in 18 hospitals. Provider, setting, and agents used for procedural sedation varied. The primary providers of procedural sedation for abscess incision and drainage, renal biopsy, joint aspiration, computed tomography, and MRI were anesthesiologists. A significantly greater percentage of hospitals where PHs did not provide procedural sedation used the operating room for abscess incision and drainage compared with hospitals where PHs provided procedural sedation (63% vs 28%, respectively). Postoperative/abscess dressing change, vesicocystourethrogram, and ≥1 painful procedure were performed without sedation in sig...Continue Reading

References

Nov 12, 2003·Archives of Pediatrics & Adolescent Medicine·Raymond D PitettiMary Clyde Pierce
May 3, 2006·Pediatrics·Christopher P LandriganRajendu Srivastava
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Citations

Sep 4, 2015·Hospital Pediatrics·Pradip P KamatJana A Stockwell
Dec 29, 2016·The American Journal of Emergency Medicine·Corrie E ChumpitaziFaria Pereira
Mar 2, 2016·Current Opinion in Anaesthesiology·Mark G RobackRobert M Kennedy
Jan 28, 2016·Paediatric Anaesthesia·Juan P Boriosi, Gregory A Hollman
Dec 14, 2017·Hospital Pediatrics·Andrew F MillerEric W Fleegler
Oct 28, 2019·The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association·Katelyn G MakarSteven R Buchman
Apr 26, 2020·Pediatrics·Pradip P KamatJoseph P Cravero

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