Procedural sedation and analgesia is common in the emergency department (ED). Data
from the Nationwide Emergency Department Sample found that at least 80 children are
sedated in the ED every day across the United States, accounting for 0.1–1.5 sedation
cases per 1000 visits [
[1]
,
[2]
]. Laceration repair, fracture reduction, and abscess incision and drainage are the
top conditions requiring PSA in the ED [
[3]
]. PSA has been shown to be safe and effective in the hands of trained multidisciplinary
practitioners in the ED [
[3]
,
[4]
].Keywords
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References
- Trends in the Utilization of Moderate Sedation in Children in Emergency Departments in the USA.Oral Abstract Society for Pediatric Sedation, 2017 (Annual Meeting)
- Pediatric Procedural Sedation in the Community Emergency Department: results from the ProSCED registry.Pediatr Emerg Care. Apr 2007; 23: 218-222
- Risk factors for adverse events in emergency department procedural sedation for children. Sedation Safety Study Group of Pediatric Emergency Research Canada (PERC).JAMA Pediatr. Oct 1 2017; 171: 957-964
- Procedural sedation outside the operating room using ketamine in 22,645 children: a report from the pediatric sedation research consortium.Pediatr Crit Care Med. Dec 2016; 17: 1109-1116
- Clinical practice guideline for emergency department ketamine dissociative sedation: 2011 update.Ann Emerg Med. May 2011; 57: 449-461
- Clinical policy: procedural sedation and analgesia in the emergency department. American College of Emergency Physicians.Ann Emerg Med. Feb 2014; 63: 47-58
- Practice guidelines for sedation and analgesia by non-anesthesiologists. American Society of Anesthesiologists Task Force on Sedation and Analgesia by Non-Anesthesiologists.Anesthesiology. Apr 2002; 96: 1004-1017
- Guidelines for monitoring and management of pediatric patients before, during, and after sedation for diagnostic and therapeutic procedures: update 2016.Pediatrics. 2016; 138: 1
CPT coding. AMA Website. https://www.ama-assn.org/practice-management/cpt-current-procedural-terminology. Copyright 1995-2018. Accessed October 2017.
Article Info
Publication History
Published online: March 17, 2018
Accepted:
March 16,
2018
Received in revised form:
March 15,
2018
Received:
March 15,
2018
Identification
Copyright
© 2018 Elsevier Inc. All rights reserved.
