What are the guidelines on pediatric sedation?

Updated: May 08, 2018
  • Author: Wan-Tsu Wendy Chang, MD; Chief Editor: Ted Rosenkrantz, MD  more...
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Answer

Answer

The American Academy of Pediatrics (AAP) and the American Academy of Pediatric Dentistry (AAPD) have issued updated clinical guidelines on the monitoring and management of pediatric patients before, during, and after sedation for diagnostic and therapeutic procedures.

The guidelines include the following [2, 3] :   

  • Practitioners who administer moderate sedation need to have the skills to rescue a child with apnea, laryngospasm and airway obstruction, and to perform successful bag/mask ventilation.
  • Those administering deep sedation also must be able to perform tracheal intubation and cardiopulmonary resuscitation.
  • Additionally, the skilled observer for either moderate or deep sedation must be trained in Pediatric Advanced Life Support.
  • The use of capnography is highly encouraged for children who are moderately sedated and required for those who are deeply sedated.

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