BACKGROUND AND OBJECTIVE Providers from a variety of training backgrounds and specialties provide procedural sedation at institutions in the United States. We sought to better understand the privileging patterns and practices for sedation providers. METHODS Surveys were sent to 56 program directors belonging to the Society for Pediatric Sedation using Research Electronic Data Capture to 56 pe...

Children often present with painful conditions that require painful interventions. Procedural sedation and analgesia refers to the pharmacologic technique of managing a child's pain and anxiety. Procedural sedation is a safe, effective, and humane way to facilitate appropriate medical care. It is important to distinguish the goals for the procedural sedation, pain relief or anxiolysis or both. ...

Although most dental procedures are amenable under local anesthesia, but many a time, depending on the extent of procedure, anxiety or phobia, patient needs some degrees of sedation. Procedural sedation outside the operating room increases the risk of adverse events. Most commonly, near miss or critical events occur due to operator error or lack off rescue systems. Unfamiliar location, inadequa...

Successful procedural sedation represents a spectrum of patient- and clinician-related goals. The absence of a gold-standard measure of the efficacy of procedural sedation has led to a variety of outcomes being used in clinical trials, with the consequent lack of consistency among measures, making comparisons among trials and meta-analyses challenging. We evaluated which existing measures have ...

OBJECTIVE 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 pediat...

M unpleasant, uncomfortable, and painful procedures take place throughout various areas in the hospital, including the emergency department, intensive care units, general medicine floors, and procedural areas. These procedures can include, but are not limited to, cardioversion, orthopedic injury reduction, burn debridement, endoscopy, bronchoscopy, and interventional imaging.1,2 Patients may ex...

OBJECTIVE To describe our experience performing ED procedural sedation in a country where emergency medicine (EM) is a relatively new specialty. METHODS This is a prospective observational study of adult patients undergoing procedural sedation by emergency physicians (EPs) or EM residents in eight hospitals in the Netherlands. Data were collected on a standardised form, including patient char...

The performance of painful diagnostic and therapeutic procedures is common in emergency care. Many of these are associated with significant anxiety, especially in children. Procedural sedation and analgesia (PSA) has therefore become a fundamental and required skill for emergency physicians and an integral part of the core training of emergency medicine residents. PSA improves the quality of pa...