• Terms such as “conscious sedation” and “twilight
sleep” are misleading as any degree of sedation has potential
to change to deep anesthesia and must be approached with this in
• Practitioners who sedate patients must be skilled in advanced
airway management, pediatric advanced life support, and in assessment
of patients for changing levels of sedative effects.
• Trained support staff and resuscitation equipment and drugs must
also be immediately available.
• Sedation should be initiated in a controlled environment. No
sedation medications should be given by the parents on the way to
the hospital or office, as was once common.