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Professional Skills and Competence for Safe and Effective Procedural Sedation in Children : Recommendations Based on a Systematic Review of the Literature
Joint Authors
Knape, Hans (J.) T. A.
Schipper, Daphne M.
Leroy, Piet L. J. M.
Source
International Journal of Pediatrics
Issue
Vol. 2010, Issue 2010 (31 Dec. 2010), pp.1-16, 16 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2010-06-28
Country of Publication
Egypt
No. of Pages
16
Main Subjects
Abstract EN
Objectives.
To investigate which skills and competence are imperative to assure optimal effectiveness and safety of procedural sedation (PS) in children and to analyze the underlying levels of evidence.
Study Design and methods.
Systematic review of literature published between 1993 and March 2009.
Selected papers were classified according to their methodological quality and summarized in evidence-based conclusions.
Next, conclusions were used to formulate recommendations.
Results.
Although the safety profiles vary among PS drugs, the possibility of potentially serious adverse events and the predictability of depth and duration of sedation define the imperative skills and competence necessary for a timely recognition and appropriate management.
The level of effectiveness is mainly determined by the ability to apply titratable PS, including deep sedation using short-acting anesthetics for invasive procedures and nitrous oxide for minor painful procedures, and the implementation of non-pharmacological techniques.
Conclusions.
PS related safety and effectiveness are determined by the circumstances and professional skills rather than by specific pharmacologic characteristics.
Evidence based recommendations regarding necessary skills and competence should be used to set up training programs and to define which professionals can and cannot be credentialed for PS in children.
American Psychological Association (APA)
Leroy, Piet L. J. M.& Schipper, Daphne M.& Knape, Hans (J.) T. A.. 2010. Professional Skills and Competence for Safe and Effective Procedural Sedation in Children : Recommendations Based on a Systematic Review of the Literature. International Journal of Pediatrics،Vol. 2010, no. 2010, pp.1-16.
https://search.emarefa.net/detail/BIM-509368
Modern Language Association (MLA)
Leroy, Piet L. J. M.…[et al.]. Professional Skills and Competence for Safe and Effective Procedural Sedation in Children : Recommendations Based on a Systematic Review of the Literature. International Journal of Pediatrics No. 2010 (2010), pp.1-16.
https://search.emarefa.net/detail/BIM-509368
American Medical Association (AMA)
Leroy, Piet L. J. M.& Schipper, Daphne M.& Knape, Hans (J.) T. A.. Professional Skills and Competence for Safe and Effective Procedural Sedation in Children : Recommendations Based on a Systematic Review of the Literature. International Journal of Pediatrics. 2010. Vol. 2010, no. 2010, pp.1-16.
https://search.emarefa.net/detail/BIM-509368
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-509368