Pediatric sedation for diagnostic testing: child friendly and JCAHO approved

Abstract

In recent years, an expansion of diagnostic technologies and the recognition that many minor surgical procedures can safely take place outside a traditional operating room has increased the use of sedative agents in outpatient clinics, radiology suites, emergency departments, and ambulatory care centers. Sedation of pediatric patients facilitates the performance of these procedures but carries inherent risks: hypoventilation, apnea, hypoxia, airway obstruction, hypotension, and cardiopulmonary arrest. The goal of our policy at Children's Hospitals and Clinics in Minnesota is to support patient safety, provide for patient comfort, and minimize any adverse psychological impact of the sedation experience on the patient and the family. Sedation of patients occurs along a continuum. Our practice recognizes this continuum and outlines the requirements for each intended level of sedation, understanding that it is possible to inadvertently achieve levels of sedation that are deeper than the level intended. This presentation included the definitions of sedation (minimal, moderate, and deep), the policy for sedation administration, and the medication profiles used for drug selection. Also included in this presentation was all documentation of sedation education and performance improvement tools, which enabled participants to have all necessary information to implement sedation practices in their facilities.