Comparison of adverse events during procedural sedation between specially trained pediatric residents and pediatric emergency physicians in Israel

Academic Emergency Medicine

Volumn 15, Issue 7, 2008, Pages 617-622

  Shavit, Itai ^a   Steiner, Ivan P ^b   Idelman, Sigalit ^c   Mosleh, Mohamed ^a   Hadash, Amir ^a   Biniamini, Lilach ^c   Lezinger, Mirit ^c   Kozer, Eran ^c  

^a MEYER CHILDREN S HOSPITAL   (Israel)

^b UNIVERSITY OF ALBERTA   (Canada)

^c ASSAF HAROFEH MEDICAL CENTER   (Israel)

Author keywords

Adverse events; Apnea; Emergency medicine; Hypoxia; Pediatric; Procedural sedation; Resident supervision

Indexed keywords

CHLORAL HYDRATE; FENTANYL; KETAMINE; MIDAZOLAM; MORPHINE; NITROUS OXIDE; PROPOFOL;

ADVERSE OUTCOME; APNEA; ARTICLE; COMBINATION CHEMOTHERAPY; COMPARATIVE STUDY; EDUCATION PROGRAM; EMERGENCY MEDICAL SERVICES EDUCATION; EMERGENCY PHYSICIAN; FEMALE; HUMAN; HYPOXIA; ISRAEL; MAJOR CLINICAL STUDY; MALE; MONOTHERAPY; PATIENT SAFETY; PEDIATRIC ANESTHESIA; PEDIATRICIAN; PRESCHOOL CHILD; PRIORITY JOURNAL; PROCEDURAL SEDATION; RESIDENCY EDUCATION; SEDATION;

ANALGESIA; ANESTHESIOLOGY; CHI-SQUARE DISTRIBUTION; CONSCIOUS SEDATION; EMERGENCY MEDICINE; EMERGENCY SERVICE, HOSPITAL; HUMANS; HYPNOTICS AND SEDATIVES; INTERNSHIP AND RESIDENCY; ISRAEL; PEDIATRICS; PROSPECTIVE STUDIES; SINGLE-BLIND METHOD;

EID: 56849102689     PISSN: 10696563     EISSN: None     Source Type: Journal    
DOI: 10.1111/j.1553-2712.2008.00160.x     Document Type: Article

References (15)

1. American Academy of Pediatrics, Committee on Psychosocial Aspects of Child and Family Health. The assessment and management of acute pain in infants, children, and adolescents. Pediatrics. 2001; 108:793-7.
2. Mace SE, Barata IA, Cravero JP, et al., American College of Emergency Physicians Clinical policy: evidence-based approach to pharmacologic agents used in pediatric sedation and analgesia in the emergency department. Ann Emerg Med. 2004; 44:342-77.
3. American Academy of Pediatrics Committee on Drugs. Guidelines for monitoring and management of pediatric patients during and after sedation for diagnostic and therapeutic procedures, an update. Pediatrics. 2006; 118:2587-602.
4. Peña BM, Krauss B. Adverse events of procedural sedation and analgesia in a pediatric emergency department. Ann Emerg Med. 1999; 34:483-91.
5. Pitetti RD, Singh S, Pierce MC. Safe and efficacious use of procedural sedation and analgesia by non-anesthesiologists in a pediatric emergency department. Arch Pediatr Adolesc Med. 2003; 157:1090-6.
6. Shavit I, Hershman E. Management of children undergoing painful procedures in the emergency department by non-anesthesiologists. Isr Med Assoc J. 2004; 6:350-5.
7. Israel Ministry of Health. Guidelines for pediatric sedation by non-anesthesiologists. Policy statement 35/2003. Available at: http://www.health.gov.il/download/forms/a1353_mr35_03.pdf. Accessed Oct 20, 2007.
8. Shavit I, Keidan I, Augarten A. The practice of pediatric procedural sedation and analgesia in the emergency department. Eur J Emerg Med. 2006; 13:270-5.
9. Roback MG, Wathen JE, Bajaj L, Bothner JP. Adverse events associated with procedural sedation and analgesia in a pediatric emergency department: a comparison of common parenteral drugs. Acad Emerg Med. 2005; 12:508-13.
10. Evered L, Klassen TP, Hartling L, Wiebe N, Rowe BH. Options for procedural sedation in paediatric patients requiring painful or anxiety provoking procedures outside the operating room. Cochrane Database Syst Rev. 2001; 2:CD003704.
11. Shavit I, Keidan I, Hoffmann Y, et al. Enhancing patient safety during pediatric sedation: the impact of simulation-based training of nonanesthesiologists. Arch Pediatr Adolesc Med. 2007; 161:740-3.
12. Schneeweiss S, Ratnaplan S. Impact of a multifaceted pediatric sedation course: self-directed learning versus a formal continuing medical education course to improve knowledge of sedation guidelines. Can J Emerg Med. 2007; 9:93-100.
13. Ratnapalan S, Schneeweiss S. Guidelines to practice: the process of planning and implementing a pediatric sedation program. Pediatr Emerg Care. 2007; 23:262-6.
14. Barbi E, Gerarduzzi T, Marchetti F, et al. Deep sedation with propofol by nonanesthesiologists: a prospective pediatric experience. Arch Pediatr Adolesc Med. 2003; 157:1097-103.
15. Pollauf LA, Lutes LE, Ramundo ML, Christopher NC. The educational experience of pediatric emergency medicine fellows in the use and application of procedural sedation/analgesia. Pediatr Emerg Care. 2004; 20:12-6.