AAP/AAPD issue updated guidelines on safe sedation for children
The American Academy of Pediatrics (AAP) and the American Academy of Pediatric Dentistry (AAPD) have released updated guidelines on the monitoring and management of pediatric patients before, during, and after sedation for diagnostic and therapeutic procedures.
- The guidelines recommend that practitioners consult with appropriate subspecialists and/or an anesthesiologist for patients at increased risk of experiencing adverse sedation events because of their underlying medical/surgical conditions.
- The child shall be accompanied by a parent, legal guardian, or other responsible person to and from the treatment facility.
- Facilities, personnel, and equipment to manage emergency and rescue situations should be immediately available, including an emergency cart or kit containing the necessary age- and size-appropriate equipment (oral and nasal airways, bag-valve-mask device, LMAs or other supraglottic devices, laryngoscope blades, tracheal tubes, face masks, blood pressure cuffs, intravenous catheters, etc.) to resuscitate a nonbreathing and unconscious child.
- The guidelines recommend documentation prior to sedation with regard to informed consent and instructions and information provided to the responsible person.