Safety and quality in paediatric procedural sedation: what really matters?


Journal

Current opinion in anaesthesiology
ISSN: 1473-6500
Titre abrégé: Curr Opin Anaesthesiol
Pays: United States
ID NLM: 8813436

Informations de publication

Date de publication:
01 Jun 2023
Historique:
medline: 1 5 2023
pubmed: 17 2 2023
entrez: 16 2 2023
Statut: ppublish

Résumé

This review gives an overview of the safety aspects for paediatric procedural sedation and a discussion of possibilities for optimizing structure, processes and outcomes. Procedural sedation in paediatric patients is performed by providers of different specialties and compliance with safety standards is a basic requirement regardless of provider specialty. This includes preprocedural evaluation, monitoring, equipment and profound expertise of sedation teams. The choice of sedative medications and the possibility of incorporating nonpharmacological methods play an important role for optimal outcome. In addition, an ideal outcome from the patient's perspective includes optimized processes and clear and empathetic communication. Institutions providing paediatric procedural sedation must ensure the comprehensive training of sedations teams. Furthermore, institutional standards for equipment, processes and optimal choice of medication depending on performed procedure and comorbidities of the patient must be established. At the same time, organizational and communication aspects should be considered.

Identifiants

pubmed: 36794877
doi: 10.1097/ACO.0000000000001255
pii: 00001503-202306000-00016
doi:

Substances chimiques

Hypnotics and Sedatives 0

Types de publication

Review Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

340-346

Informations de copyright

Copyright © 2023 Wolters Kluwer Health, Inc. All rights reserved.

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Auteurs

Katharina Röher (K)

Department of Anesthesiolgy, University Medical Center Hamburg-Eppendorf, Hamburg.

Karin Becke-Jakob (K)

Department of Anesthesia, Hospital Hallerwiese - Cnopf Children's Hospital, St.-Johannis-Mühlgasse 19, Nürnberg.

Christoph Eich (C)

Department of Anaesthesia, Paediatric Intensiv Care and Emergency Medicine, Auf der Bult Children' s Hospital, Hannover, Germany.

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