Safety and Competency are the Main Priorities in Pediatric Endoscopy

Abstract

Safety is always the first priority in pediatric endoscopy. Quality control is crucial to prevent cardiopulmonary adverse events related to endoscopy and/or sedation, bleeding, infection, and perforation. 1 One cannot emphasize enough on the importance of safety in children, particularly if the procedure is performed in an adult unit. Risk evaluation by the pediatrician is necessary before sedation. Moreover, sedation-and anesthesia-related events should be minimized. The sedation strategy should be applied based on the safety and effectiveness. The optimal choice among several agents may differ across endoscopic centers. 2 A prompt response to adverse events by a trained pediatrician and/or an anesthesiologist is vital. On-site monitoring devices, including the pulse oximeter and electrocardiogram monitor, suction equipment, oxygen supply, and emergency cart, should be checked. 3 When conducting an effective and rapid endoscopic procedure to minimize adverse events, pediatric endoscopes as well as smaller accessories (e.g., forceps, injection needle, retrieving net, snare, etc.