RT Book, Section A1 Colvin, Christopher A2 Stone, C. Keith A2 Humphries, Roger L. A2 Drigalla, Dorian A2 Stephan, Maria SR Print(0) ID 1176571188 T1 Procedural Sedation T2 CURRENT Diagnosis & Treatment: Pediatric Emergency Medicine YR 2014 FD 2014 PB McGraw-Hill Education PP New York, NY SN 9780071799454 LK accesspediatrics.mhmedical.com/content.aspx?aid=1176571188 RD 2024/03/29 AB Procedural sedation and analgesia has proven safe and effective in the emergency department, and should be utilized when patients undergo painful procedures. In addition to facilitating painful procedures, a number of agents are utilized in pediatrics to facilitate diagnostic studies (CT, MRI, lumbar punctures). The most important step in addition to monitoring the patient involves extensive preparation and, at conclusion of sedation, the patient should return to mental and physiologic baseline. In scenarios where the patient’s severity of illness questions the applicability of emergency department sedation, the physician must review the risks, and consider consultation with the anesthesiologist. Although degrees of sedation can at times be ambiguous, observation of the patient’s progression, and remaining vigilant for respiratory depression can diminish untoward effects and facilitate successful recovery and disposition.