Pediatric Sedation Outside of the Operating Room

2021 ◽  
Author(s):  
Jennifer Biber ◽  
Jenna Wheeler

While solid organ biopsies are routinely done on adults with only local anesthesia or minimal sedation, children frequently require deep sedation or general anesthesia to achieve acceptable conditions (stillness, anxiolysis, analgesia) to facilitate these procedures. This is more frequently being done with pediatric sedation/anesthesia outside the operating room. Issues unique to sedation for these procedures are pain, the need for relative patient immobility (both during the procedure and following it), and the nonstandard positioning required during the procedure. Regardless of the medications chosen, adequate monitoring should occur during the procedure as well as during the recovery period. With a good sedation plan for both sedation and analgesia, adequate monitoring, and contingency planning for adverse events, this can safely be performed in institutions with highly motivated and organized sedation services.


2013 ◽  
Vol 14 (2) ◽  
pp. e112-e113 ◽  
Author(s):  
Rainer Gedeit

2004 ◽  
Vol 145 (1) ◽  
pp. 47-52 ◽  
Author(s):  
David Gozal ◽  
Benjamin Drenger ◽  
Phillip D. Levin ◽  
Avishag Kadari ◽  
Yaacov Gozal

2005 ◽  
Vol 18 (4) ◽  
pp. 442-446 ◽  
Author(s):  
Mark D Twite ◽  
Robert H Friesen

2008 ◽  
Vol 21 (4) ◽  
pp. 494-498 ◽  
Author(s):  
David Gozal ◽  
Yaacov Gozal

Author(s):  
John S. Kopec

The concept of a pediatric sedation unit developed as the need for a sedation service outside of the operating room became legitimized and essential to hospitals with a large pediatric population. The pediatric sedation unit is an area of a hospital specifically designed and staffed to provide safe sedation to children for invasive and noninvasive procedures outside of the operating room. A well-organized unit offers many benefits to the hospital, including efficiency, cost savings, and patient/family/provider satisfaction. The unit’s design and administration will vary based on the local medical climate and needs of a given region. The unit is highly integrated into the hospital and, once established, is virtually essential to the provision of safe and efficient care of children. Integration with the hospital, study modalities, and subspecialties can be facilitated by easy access to the unit for inpatients and outpatients, enhanced communication using the electronic medical record, an organized scheduling and screening process, and attention to improvement and growth.


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