Procedural sedation in children outside of the operating room
- Deborah C Hsu, MD, MEd
Deborah C Hsu, MD, MEd
- Associate Professor of Pediatrics, Section of Emergency Medicine
- Baylor College of Medicine
- Joseph P Cravero, MD
Joseph P Cravero, MD
- Associate Professor of Anesthesia
- Harvard Medical School
- Boston Children's Hospital
- Section Editors
- Anne M Stack, MD
Anne M Stack, MD
- Section Editor — Pediatric Procedures
- Associate Professor, Department of Pediatrics
- Harvard Medical School
- Adrienne G Randolph, MD, MSc
Adrienne G Randolph, MD, MSc
- Section Editor — Pediatric Critical Care Medicine
- Professor of Anaesthesia and Pediatrics
- Harvard Medical School
- Deputy Editor
- James F Wiley, II, MD, MPH
James F Wiley, II, MD, MPH
- Senior Deputy Editor — UpToDate
- Deputy Editor — Adult and Pediatric Emergency Medicine
- Deputy Editor — Primary Care Sports Medicine (Adolescents and Adults)
- Clinical Professor of Pediatrics and Emergency Medicine/Traumatology
- University of Connecticut School of Medicine
This topic reviews the indications, contraindications, and steps for safe performance of procedural sedation in children undergoing diagnostic or therapeutic procedures, regardless of setting.
Pre-sedation evaluation, preparation for procedural sedation, properties of specific agents used for pediatric procedural sedation, strategies for selecting medications for pediatric procedural sedation, pediatric airway management, and sedation in adults are discussed separately:
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- GOALS OF SEDATION AND ANALGESIA
- CONTRAINDICATIONS AND PRECAUTIONS
- PERFORMING PROCEDURAL SEDATION
- Informed consent
- Sedation state
- Nonpharmacologic interventions
- Medication administration
- DISCHARGE CRITERIA
- ADVERSE OUTCOMES
- CLINICAL PRACTICE GUIDELINES
- SUMMARY AND RECOMMENDATIONS