The Time Is Now: Standardized Sedation Training for Pediatric Hospitalists.

Abstract

* Abbreviations: OR — : operating room PH — : pediatric hospitalist PHM — : pediatric hospital medicine PSRC — : Pediatric Sedation Research Consortium SAE — : serious adverse event Changes in technology, training, medication, and resource availability will continually alter the dynamic of procedural sedation. Impacts may be greatest for children, who are more likely to require sedation for any given procedure and have unique anatomic and developmental issues that require specialized expertise. Health care systems and pediatric patients and their families benefit when imaging studies and procedures are performed in a patient-centered manner, without unnecessary delays and with the appropriate amount of sedation for optimizing clinical outcomes as well as ensuring patient safety, comfort, and satisfaction. Although anesthesiologists and nurse anesthetists provide anesthesia inside the operating room (OR), considerable variability exists in providers who offer sedation outside of the OR. In this issue of Pediatrics , Kamat et al1 examine trends from 2007 to 2018 in procedural sedation outside of the OR using the Pediatric Sedation Research Consortium (PSRC) database. The PSRC is a self-selected, voluntary collaborative of clinicians in the United States who provide sedation and collect prospective observational data on sedation encounters outside of the OR. The authors reviewed 432 842 sedation … Address correspondence to Matthew Garber, MD, Department of Pediatrics, College of Medicine–Jacksonville, University of Florida, Third Floor, 800 Prudential Dr, Jacksonville, FL 32207. E-mail: matthew.garber{at}jax.ufl.edu