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Dumonceau, Jean‐Marc; Riphaus, A.; Aparicio, JR; Beilenhoff, Ulrike; Ortmann, M.; Paspatis, Gregorios A.; Ponsioen, Cyriel Y.; Rácz, I; Schreiber, F.; Vilmann, Peter; Wehrmann, T.; Walder, Bernhard; Neuhaus, Horst

doi:10.1097/eja.0b013e32835132f5

Cited by 2 publications

(1 citation statement)

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“…Recent guideline for non-anesthesiologist administration of propofol for gastrointestinal endoscopy from European society of gastrointestinal endoscopy suggests primary involvement of an anesthesiologist in patients of ASA class ≥3, with a Mallampati's class ≥3 or other conditions that put them at risk of airway obstruction (e.g. pharyngolaryngeal tumors), in patients who chronically receive significant amounts of narcotic analgesics, or in cases where a long-lasting procedure is anticipated 16 . Similar to the sedation studies in adult patients, whether procedural sedation can be safely performed in paediatric patients with ASA III or higher by non-anaesthesiologists still needs further in-depth exploration [17][18][19] .…”

Section: Choice Of Sedativesmentioning

confidence: 99%

Moderate and deep sedation for non-invasive paediatric procedures in tertiary maternity and children’s hospitals in China: A questionnaire survey from China

Zhang

Huang

et al. 2019

Preprint

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Background: Moderate and deep sedation are well-established techniques in many developed countries, and several guidelines have been published. However, they have received attention in China only in recent years. The aim of this study is to investigate current paediatric sedation practices in tertiary children’s hospitals and tertiary maternity and children hospitals in China. Methods: All tertiary children’s hospitals and tertiary maternity and children hospitals registered with the National Health Commission of the People’s Republic of China were invited to participate in an electronic survey, which included information on the sedation caseload, facility availability, staff structure, clinical-skill requirements for sedation providers, fasting guidelines, patient-monitoring practices, and choice of sedatives. Results: Fifty-eight of the 63 hospitals that completed the survey (92.1%) provided moderate and deep sedation. Dedicated sedation rooms and post-sedation recovery rooms were found in only 14 (24.1%) and 19 (32.8%) hospitals, respectively. Sedation for non-invasive procedures was primarily performed by anaesthesiologists (69.0%); however, 75.9% of the sedation providers had not received paediatric basic and advanced life-support training. Children were asked to fast from clear liquids for at least 2 h in 44.8% of hospitals and at most 6 h in 5.2% of hospitals; they were asked to fast from solid food/milk for at least 4 h in 27.6% of hospitals and more than 8 h in 1.7% of hospitals. The most commonly used sedative in all groups was chloral hydrate. For rescue, propofol was the most widely used sedative, particularly for children older than 4 years. Conclusion: Moderate and deep sedation practices vary widely in tertiary children’s hospitals and tertiary maternity and children hospitals in China. More optimized practices should be established to improve the quality of moderate and deep sedation.

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