Abstract
BackgroundModerate and deep sedation are well-established techniques in many developed countries, and several guidelines have been published. However, they have received attention in China only in recent years. The aim of this study is to investigate current paediatric sedation practices in tertiary children’s hospitals and tertiary maternity and children hospitals in China.MethodsAll tertiary children’s hospitals and tertiary maternity and children hospitals registered with the National Health Commission of the People’s Republic of China were invited to participate in an electronic survey, which included information on the sedation caseload, facility availability, staff structure, clinical skill requirements for sedation providers, fasting guidelines, patient-monitoring practices, and choice of sedatives.ResultsFifty-eight of the 63 hospitals that completed the survey (92.1%) provided moderate and deep sedation. Dedicated sedation rooms and post-sedation recovery rooms were found in 14 (24.1%) and 19 (32.8%) hospitals, respectively. Sedation for non-invasive procedures was primarily performed by anaesthesiologists (69.0%); however, 75.9% of the sedation providers had not received paediatric basic or advanced life-support training. Children were asked to fast from clear liquids for at least 2 h in 44.8% of hospitals and up to 6 h in 5.2% of hospitals; they were asked to fast from solid food/milk for at least 4 h in 27.6% of hospitals and more than 8 h in 1.7% of hospitals. The most commonly used sedative in all groups was chloral hydrate. For rescue, propofol was the most widely used sedative, particularly for children older than 4 years.ConclusionsModerate and deep sedation practices vary widely in tertiary children’s hospitals and tertiary maternity and children hospitals in China. Optimised practices should be established to improve the quality of moderate and deep sedation.
Highlights
Moderate and deep sedation are well-established techniques in many developed countries, and several guidelines have been published
We identified tertiary children’s hospitals and tertiary maternity and children hospitals from a list of facilities registered with the National Health Commission of People’s Republic of China
The questionnaires were released in June 2018, and completed surveys were retrieved by July of the same year
Summary
Moderate and deep sedation are well-established techniques in many developed countries, and several guidelines have been published. The American Society of Anesthesiologists (ASA), the American Academy of Pediatric Dentistry (AAPD), and the American College of Emergency Physicians (ACEP) developed sedation guidelines for different clinical situations [2,3,4]. These have been updated regularly to enhance the safety and quality of moderate and deep sedation practices in the United States and other developed countries [5,6,7,8,9,10]
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Free) 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
