Pediatric Sedation Outside of the Operating Room

1. Front Matter

   Pages i-xviii

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2. Pediatric Sedation Outside the Operating Room

   1. Front Matter

      Pages 1-1

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   2. The History of Sedation

      • Robert S. Holzman

      Pages 3-15

   3. Sedation Policies, Recommendations, and Guidelines Across the Specialties and Continents

      • Joseph P. Cravero

      Pages 17-31

   4. Procedural Sedation: Let’s Review the Basics

      • Vincent W. Chiang

      Pages 33-39

   5. The Pre-sedation Assessment and Implications on Management

      • Timothy Horeczko, Mohamed Mahmoud

      Pages 41-70

   6. Sedation Scales and Discharge Criteria: How Do They Differ? Which One to Choose? Do They Really Apply to Sedation?

      • Dean B. Andropoulos

      Pages 71-82

   7. Physiological Monitoring for Procedural Sedation: The Routine and Beyond

      • Cyril Sahyoun, Baruch S. Krauss

      Pages 83-93

   8. The Pediatric Airway: Anatomy, Challenges, and Solutions

      • Lynne R. Ferrari

      Pages 95-109

   9. Pediatric Physiology: How Does It Differ from Adults?

      • Dean B. Andropoulos

      Pages 111-123

   10. The Pharmacology and Clinical Application of Sedatives, Analgesics, and Adjuncts

       • Randy P. Prescilla

       Pages 125-149

   11. Sedatives: Effects on Memory and Amnesia

       • Robert A. Veselis

       Pages 151-172

   12. Pharmacokinetics and Pharmacodynamics in the Pediatric Population

       • Brian J. Anderson

       Pages 173-193

   13. Billing and Reimbursement for Sedation Services in the United States

       • Devona J. Slater

       Pages 195-203

3. Sedation Models Delivered by Different Specialties: A Global Voyage

   1. Front Matter

      Pages 205-205

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   2. The Pediatric Hospital Medicine Service: Models, Protocols, and Challenges

      • Douglas W. Carlson, Suzanne S. Mendez

      Pages 207-225

   3. The Anesthesia-Directed Sedation Service: Models, Protocols, and Challenges

      • Joss Thomas

      Pages 227-241

   4. Sedation in the Neonatal Intensive Care Unit: International Practice

      • Karel Allegaert, John van den Anker

      Pages 243-274

   5. Sedation in the Pediatric Intensive Care Unit: Challenges, Outcomes, and Future Strategies in the United States

      • Joseph D. Tobias

      Pages 275-328

   6. Sedation in the Pediatric Intensive Care Unit: Current Practice in Europe

      • Ian A. Jenkins

      Pages 329-350

This is a major revision, updating, and expansion of the leading single-source volume on pediatric sedation outside of the operating room. Edited and written by an international roster of outstanding experts, it is the only book aimed at the broad range of specialists who deliver pediatric sedation in the non-OR setting.

The Second Edition features a significant expansion of contributions from international leaders and individual new chapters on pre-sedation assessment; sedatives’ short- and long-term effects on neurocognition; non-pharmacologic distractions; Michael Jackson’s death and medical ethics; the role of simulation in safety and training; and palliative sedation in terminally ill children.

The specialty-specific chapters continue to be geared toward all sedation providers, regardless of where they practice and patient safety is again emphasized. Fundamental chapters provide in-depth reviews of topics which include, among others, physiology and pharmacology. The book presents the latest guidelines across the specialties, both in the United States and abroad and noteworthy, ongoing research endeavors.

From reviews of the First Edition:

“This meritorious volume is a splendid collection of materials from highly experienced authors…I will make extensive use of this reference as the academic medical center in which I work continues to build sedation practices and assess credentialing/privileging aspects for professionals of all fields.” —Joseph R. Tobin, MD in Journal of the American Medical Association.

“Brings together sedation practice from a broad range of specialties into one well-written pediatric text…I will certainly be using this book as a reference text in the future.” — Pediatric Anesthesia.

“The first [text] directed at all specialists that treat children who require some sedation…also recognizes the contributions to pediatric sedation of many international societies and governmental organizations…It should be on the shelves of all office-based practices.” —Journal of Neurosurgical Anesthesiology.

"With the ever-increasing opportunities to perform various investigations and therapeutic procedures, combined with increasing demands and expectations from children and their parents, the need and demand for safe and effective sedation of paediatric patients outside the operating room is increasing. Against this background, the second edition of ‘Pediatric Sedation Outside the Operating Room’ is a very timely addition to the anaesthesia literature."—British Journal of Anesthesia 

• international
• multispecialty
• outside of the OR
• pediatric sedation
• Diagnostic Radiology

“The book is well suited for basic teaching of residents but also contains useful information for the board-certified practitioner. … this book should be available in all anaesthesia departments that deal with anaesthesia and sedation for children and in many other medical departments that are involved with sedation of paediatric patients, such as radiology and emergency rooms. For clinicians who are more frequently involved with paediatric sedation, this book should be an almost mandatory part of their personal library.” (P.-A. Lönnqvist, British Journal of Anaesthesia, Vol. 114 (4), April, 2016)

• Department of Anesthesiology, Harvard Medical School, Boston, USA

  Keira P. Mason

Keira P. Mason, MD, is the director of radiology anesthesia at Children's Hospital Boston and the director of the annual conference "Pediatric Sedation Outside of the Operating Room" sponsored by Harvard Medical School.

Policies and ethics