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

TY - JOUR

T1 - Safety and quality in paediatric procedural sedation: what really matters?

AU - Röher, Katharina

AU - Becke-Jakob, Karin

AU - Eich, Christoph

PY - 2023/6/1

Y1 - 2023/6/1

N2 - Purpose of review This review gives an overview of the safety aspects for paediatric procedural sedation and a discussion of possibilities for optimizing structure, processes and outcomes.Recent findings 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.Summary 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.

AB - Purpose of review This review gives an overview of the safety aspects for paediatric procedural sedation and a discussion of possibilities for optimizing structure, processes and outcomes.Recent findings 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.Summary 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.

U2 - 10.1097/ACO.0000000000001255

DO - 10.1097/ACO.0000000000001255

M3 - SCORING: Review article

C2 - 36794877

VL - 36

SP - 340

EP - 346

JO - CURR OPIN ANESTHESIO

JF - CURR OPIN ANESTHESIO

SN - 0952-7907

IS - 3

ER -