The American Association Pediatric (AAP) suggest
That all patients through 17 years of age be considered pediatric patients.
Intravenous conscious sedation may be performed on pediatric patients greater than 9 months of age who are assessed Class I or Class II using the Physical Status Classification of the American Society of Anesthesiologists (ASA) System.
“A technique of administering sedatives or dissociative agents with or without analgesics to induce a state that allows patients to tolerate unpleasant procedures while maintaining cardiorespiratory function. Procedural sedation and analgesia is intended to result in a depressed level of consciousness, but one that allows the patient to maintain airway control independently and continuously,” Reference: American College of Emergency Physicians) ACEP
|Age||Respiration Rate||Heart Rate||Arterial BP||Arterial BP|
American Association of Pediatrics NPO Guidelines for elective cases
- For children 0-5 months: no milk or solids for four hours
- No breast milk for 4 hours before scheduled procedure
- 5-36 months: no milk or solids for six hours
- > 3 years: 8 hours for milk or solids
- Clear liquids up to two hours beforehand
Who is qualified to do sedation?
- One practitioner – at least BLS, preferably PALS, and familiarity with drugs
- One assistant – primary responsibility is monitoring
- For deep sedation – practitioner must have advanced airway skills. (Anesthesia provider, Pediatric intensivists, ED physician)
Medications for Pediatric Sedation: