Full Description
The Pediatric Procedural Sedation Handbook provides a comprehensive but concise review of the essential information needed to allow for the safe practice of pediatric procedural sedation. Written by a group of multidisciplinary authors, this text explores the fundamentals of sedation, procedural sedation, special patient considerations, diagnostic and therapeutic procedures, and more. Each chapter offers a starting point and suggestions for further in-depth study of all aspects of providing safe, effective, multidisciplinary-team based sedation care for children undergoing testing and procedures outside of an operating room setting. Appendices providing medication dosing and delivery route suggestions complement the text and can be used for quick reference. This book is a must-read for any clinician involved in modern, team-based patient-centered care, including physicians, nurses, dentists, and child life specialists.
Editors and authors are members of the Society of Pediatric Sedation, a multidisciplinary society dedicated to the advance of pediatric sedation by promoting safe, high quality care, innovative research, and quality professional education.
Contents
Part 1. Fundamentals of Sedation
Chapter 1: Pediatric Sedation - How it has evolved? Lia Lowrie
Chapter 2: The Impact of Procedural Stress Jill Chorney and Melissa Howlett
Chapter 3: Sedation as a Continuum
3.1 Minimal, Moderate and Deep Sedation Élise Van der Jagt
3.2 Assessing Patient State and Efficacy Joseph Cravero
Chapter 4: Pediatric Airway and Respiration
4.1 The Pediatric Airway Lowell Clark and Stephen Tomek
4.2 Sedation Effects Mary Landrigan-Ossar and Samuel Vanderhoek
4.3 Techniques for Managing the Airway Mary Landrigan-Ossar and Samuel Vanderhoek
Chapter 5: Cardiovascular System
5.1 Sedation Effects Jeffrey Linzer
5.2 Congenital Heart Disease Considerations
Michael Wolf and Feifei Williams
Chapter 6: The Pediatric Pre-Sedation Evaluation and Preparation
6.1 Risk Assessment Mark Buckmaster
6.2 Pre-screening Deborah LaViolette
6.3 Pre-sedation Preparation: Equipment and Time Out/Checklists Elizabeth Mack and Rhea Vidrine
6.4 Fasting and Aspiration Risk in Procedural Sedation
Maala Bhatt and Mark Roback
Chapter 7: Monitoring
7.1 Noninvasive Blood Pressure Monitoring and Electrocardiography Melissa Langhan and Seth Wolf
7.2 Pulse Oximetry
Melissa Langhan and Storm Liebling
7.3 Ventilation Kevin Couloures
7.4 Observation Debra Faulk
Chapter 8: The Recovery Phase of Sedation
8.1 Monitoring Lorie Reilly
8.2 Discharge Considerations Michelle Rhoads and Tracy Campbell
8.3 Follow-up Lorie Reilly
Chapter 9: Adverse Events of Sedation
9.1 Definition and Incidence David Fagin
9.2 Minor Events
Corrie Chumpitazi
9.3 Moderate Events
Corrie Chumpitazi
9.4 Major Events
Corrie Chumpitazi
9.5 Risks
Peter Chin and Sara Walls
9.6 Methods of Rescue and Response Corrie Chumpitazi and Christopher Rees Part 2. Procedural Sedation
Chapter 10: Procedural Considerations
10.1 Procedural Aspects affecting Sedation Care: Invasiveness and Duration Anne Stormorken
10.2 Procedural Aspects affecting Sedation Care: Skill Set and Location Susanne Kost and Kimberly Fugok
10.3 Urgent Sedation (unscheduled procedural sedation) in the Emergency Department Benjamin Jackson, Elysha Pifko
Chapter 11: Special Patient Considerations
11.1 The Obese Child James Hertzog
11.2 The Autistic Child Pradip Kamat and Laurie Burton
11.3 The Child with Cerebral Palsy Joanne Hojsak and Jennifer Gillen
11.4 The Premature Infant Jeana Havidich and Rebecca Evans
Chapter 12: Diagnostic and Therapeutic Procedures
12.1 Radiology - MRI and CT imaging Considerations Amber Rogers
12.2 Radiation Therapy Nicole Johnson and Bryan McKee
12.3 VCUG Patricia Scherrer and Laura Bredbenner
12.4 Endoscopy
Barbara Dilos and Cheryl Gooden
12.5 Biopsy Jennifer Biber and Jenna Wheeler
12.6 Pulmonary
Paul Smith
12.7 Cardiology
Janey Phelps
12.8 Oncology
Gordon Gale
12.9 Intravenous Access
Jenna Fine and Lia Lowrie
12.10 Orthopedic
Mary Hegenbarth
12.11 Neurology
Daniel Sedillo and Samuel Zuckerman
12.12 Cutaneous
Judson Barber and Jacinta Cooper
12.13 Botox Injections
Christina Mannix
Chapter 13: Sedation in the Pediatric Dental Practice
John Unkel
Chapter 14: International Approaches to Pediatric Sedation
14.1 The NICE Guideline: UK Experience Michael Surry and Sarah Greenaway
Chapter 15: Non-IV Sedation
15.1 Nitrous Oxide Judith Zier and Mary Kay Farrell
15.2 Intranasal Medications Daniel Tsze and Jason Reynolds
15.3 Oral Medications Becky Burger and Shobhit Jain
15.4 Topical and Local Anesthetics Constance Houck and Amy Vinson Part 3. Beyond Sedation
Chapter 16: Multiprofessional Team
16.1 Physician Training and Perspective Gregory Hollman and Andrea Carberry
16.2 Nursing
Michelle Rhoads and Eileen Briening 16.3 Child Life Specialists
Laura Mitchell and Christine Tatem
Chapter 17: Guidelines, Regulatory Issues and Reimbursement
17.1 Society Guidelines
Urmila Tirodker
17.2 Regulatory Issues
Jerard (Mick) Connors and Jesse Sturm
17.3 Hospital and Professional Reimbursement David Banks and David Werner
17.4 The Credentialing and Re-credentialing Process Joseph Tobias and Gregory Hollman
Chapter 18: Administrative Organization
18.1 A Sedation Unit Approach John Kopec
18.2 A Sedation Team Approach Michael Turmelle
Chapter 19: Quality Improvement in Pediatric Sedation Cheri Landers and Ashwin Krishna Appendix: Pharmacologic Therapy Sally Webb and John Berkenbosch
