Endoscopic sedation in pediatric practice.

Meghan E Fredette, Jenifer R Lightdale

Journal: Gastrointestinal endoscopy clinics of North America 2009;18(4):739-51, ix

PMID: 18922412

Full Text on Elsevier Science View on PubMed

Abstract

Best sedation practices for pediatric endoscopy involve the consideration of many patient factors, including age, medical history, clinical status, and anxiety level, as well as physician access to anesthesia support. A recent survey of pediatric gastroenterologists suggests that endoscopist-administered intravenous (iv) sedation and anesthesiologist-administered propofol represent common sedation regimens in children. Technical advances in ventilatory monitoring are contributing to increased patient safety for all children undergoing gastrointestinal procedures, regardless of sedation type.

Address: Division of Gastroenterology and Nutrition, Children's Hospital Boston, Boston, MA 02115, USA.

DOI: 10.1016/j.giec.2008.06.006

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MeSH Terms: Adolescent, Age Factors, Capnography, Child, Conscious Sedation, Endoscopy, Gastrointestinal, Female, Gastroenterology, Humans, Male, Massachusetts, Oximetry, Pediatrics, Practice Guidelines as Topic, Practice Patterns, Physicians', United States