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organizations have defined different “levels” of sedation ranging from minimally impaired consciousness to complete unconsciousness or general anesthesia. Any provider who delivers sedation should recognize that different levels of sedation are possible and they are not specific to a given drug.
define the skills needed to rescue children experiencing adverse sedation events. The sedation of children is different from the sedation of adults. Sedation in children is often administered to relieve pain and anxiety as well as to modify behavior (e.g., immobility) so as to allow the safe completion of a procedure. A child’s
Sedation and analgesia comprises a continuum of states ranging from minimal sedation (anxiolysis) through general anesthesia, as defined by the American Society of Anesthesiologists and accepted by the Joint Commission . 2,3 Level of sedation is entirely independent of the route of administration.
level of sedation or route of administration, the sedation of a pediatric patient represents a continuum and may result in respiratory depression and the loss of the patient’s protective
•50-70% patients achieve mild to moderate sedation with N 2 0 as a single agent. A few patients may reach moderate to deep sedation at 70%. Close monitoring of UMSS is essential throughout. • 10% of children may be poorly sedated & for 10% analgesia is not effective or may have psychological resistance Failure to sedate )
The ability to provide appropriate sedation and analgesia is now an expected skill of healthcare providers within the ED. In the early nineties, the American Academy of Pediatrics (AAP) described three levels of sedation – conscious sedation, deep sedation and general anaesthesia.
Coté CJ, Wilson S; American Academy of Pediatrics; American Academy Of Pediatric Dentistry. Guidelines for Monitoring and Management of Pediatric Patients Before, During, and After Sedation for Diagnostic and Therapeutic Procedures: Update 2016.
