Sedation for Children Undergoing Multiple ProceduresBy Sue Kost, MD

This episode of Cautionary Tales will focus on a couple of lessons I’ve learned from experience when providing sedation for children undergoing multiple procedures during the same sedation event. To many of you, this information may seem like common sense, but some, like me, may have learned the hard way. Let’s hope that these tips prevent at least … [Read More...]
Quality & Safety
Review of the Pediatric Sedation State ScaleBy Kevin Couloures, DO, MPH
Pediatrics 139/5/e20162897 In May 2017, Joseph Cravero et al published a newly developed and validated procedural sedation scale. The intent of this scale is to provide a scoring tool that not only represents the depth of the sedation but also reflects the quality of the sedation, which includes … [Read More...]
Building a Sedation Quality DashboardBy Cheri Landers, MD
With the Center of Excellence Award Designation on the horizon I thought I would resurrect an abstract from the Annual SPS Conference in 2012 that described how our Pediatric Sedation Service built a Sedation Dashboard and follow with some comments about how the dashboard has changed and lessons we … [Read More...]
Membership & Communications
SPS Membership and Communications Committee UpdateBy Sue Kost, MD, Chair
The recent focus of the Membership and Communication Committee has been on publicizing and clarifying the SPS member benefits, both for individual members and for institutional members. In particular, we hope to improve communication with our Platinum-level institutional members. A task force within our committee is soliciting content for a new, … [Read More...]
Research
SPS Research Committee UpdateBy Dan Tsze, MD, MPH
Dental Sedation The committee continues to work with the SPS leadership and representatives from the American Academy of Pediatric Dentistry to develop data gathering and analysis capability specific to dental sedation. This will be the first of many such efforts to gain involvement from dentists in the PSRC. With the leadership of AAPD … [Read More...]
Literature Reviews
Pediatric Procedural Sedation Using the Combination of Ketamine and Propofol Outside of the Emergency DepartmentReviewed by Carmen D. Sulton, MD; Laurie Burton, MD; Pradip Kamat, MD, MBA, FCCM; Jason Reynolds, MD; and Patricia Scherrer, MD
Grunwell JR, Travers C, Stormorken AG, Scherrer PD, Chumpitazi CE, Stockwell JA, Roback MG, Cravero J, Kamat PP. Pediatric Critical Care Medicine, August 2017, vol 18, no 8, pp 356-363. The combination of propofol and ketamine has emerged as a popular sedation choice in the emergency setting. Ketamine, especially, is used widely in both adult … [Read More...]
Optimal Volume of Administration of Intranasal Midazolam in Children: A Randomized Clinical TrialReviewed by Carmen D. Sulton, MD; Laurie Burton, MD; Pradip Kamat, MD, MBA, FCCM; Jason Reynolds, MD; and Patricia Scherrer, MD
Tsze, DS, leni, M, Fenster, D. Annals of Emergency Medicine, Vol. 69, no. 5, 2017, pp. 600–609. Intranasal medications have become both a popular and efficient method of delivering anxiolytic and pain medications. Notably for pediatric patients, intranasal medications often eliminate the need for distressing peripheral IV starts. Addi … [Read More...]
Current State of Institutional Privileging Profiles for Pediatric Procedural Sedation ProvidersReviewed by Sarah Webber, MD
Pediatr. 2015 Sep;5(9):487-94. doi: 10.1542/hpeds.2015-0052 Kamat PP1, Hollman GA2, Simon HK3, Fortenberry JD3, McCracken CE4, Stockwell JA3. Summary Kamat et al. presents a well-written manuscript describing the state of pediatric procedural sedation programs belonging to the Society for Pediatric Sedation (SPS), with data derived from a … [Read More...]
Association of BMI With Propofol Dosing and Adverse Events in Children With Cancer Undergoing Procedural SedationReviewed by Lorie Reilly, MSN, CRNP, CPNP-AC
The Children’s Hospital of Philadelphia
The Children’s Hospital of Philadelphia
Rogerson C, Abulebda K, Hobson M Hospital Pediatrics. 2017 Sept 7(9): 542-546. Abstract Objectives: This study examined the effect of BMI, from underweight to obesity, on dosing of propofol and adverse events for children with cancer who were deeply sedated for painful procedures. Methods Retrospectively they studied pediatric oncology … [Read More...]