Volume 8, Number 3 – Focus on Education

Dental vs Medical Sedation: Is it really all that different?
Reviewed by John Unkel, MD, MPA, DDS

SPS Plenary Session | May 20, 2019, 3:15 pm | James Tom, DDS, MS Delivery of dental sedation is performed by various provider types, thus collaboration between disciplines is essential. Pediatric sedation provided by dentists often depends on the type of training and pediatric exposure received during residency. Pediatric dentists generally p … [Read More...]

Trends in PSRC Sedation
Reviewed by Mary Landrigan-Ossar, MD, PhD

SPS Plenary Session | May 20, 2019, 1:30 pm | Pradip Kamat, MD The Pediatric Sedation Research Consortium (PSRC) has collected data on over 450,000 sedations from 2007-2018. Dr. Pradip Kamat’s presentation, “Trends in PSRC Sedation”, was an informative and, dare I say, entertaining (who will ever forget the immortal line, “any gorilla can push prop … [Read More...]

“What Happens When the Lights Go Out?” Addressing After Hours Sedation
Reviewed by Anne Stormorken, MD

SPS Plenary Session | May 20, 2019, 12:15 pm Moderator – Deb Faulk, MD | Presenters – Troy Sands, MD; Carmen Sulton, MD The holy grail of any service line is providing the same level of care and customer service 24/7/365, and this is particularly true when caring for children. A panel of sedation experts provided insight into how various ins … [Read More...]

Unscheduled Compassion: Procedural Sedation & Pre-procedural Fasting
Reviewed by David Banks, MD, FAAP

SPS Plenary Session | May 20, 2019, 4:15 pm Benjamin F. Jackson, MD, FAAP, FACEP; and Maala Bhatt, MD, MSc, FRCPC Dr. Jackson introduced the American College of Emergency Physicians’ new guideline: “Multidisciplinary Consensus Practice Guideline for Unscheduled Procedural Sedation” “We look to guidelines to point us in a direction of safety, t … [Read More...]

Ensuring Quality in Procedural Sedation across the Institution
Reviewed by Cheri Landers, MD, FAAP, FCCM

SPS Plenary Session | May 20, 2019, 8:45 am | Dr. Vanessa Olbrecht and Dr. Michael Turmelle Dr. Michael Turmelle, hospitalist, and Dr. Vanessa Olbrecht, anesthesiologist, presented the privileging processes from their respective institutions (Washington University, St. Louis Children’s Hospital and Cincinnati Children’s Hospital) along with the cha … [Read More...]

A Tale of Three Cities: Variation in Sedation Service Lines
Reviewed by Amber Rogers, MD, FAAP

SPS Plenary Session | May 20, 2019, 12:45 pm | Moderator—Amber Rogers, MD In the “A Tale of Three Cities: Variation in Sedation Service Lines” plenary session, multidisciplinary representatives from three different children’s hospitals compared and contrasted their sedation service structures, typical processes, and approach to a variety of sedated … [Read More...]

Evolution of Sedation Nursing and Impact on Care Standards
Reviewed by Michelle Rhoads, MSN, APRN, BC

SPS Plenary Session | May 20, 2019, 3:45 pm Nancy Crego, PhD, RN, CCRN; Lorie Reilly, MSN, CRNP, CPNP Dr. Crego and Ms. Reilly provided a robust discussion on the evolution of the nurse’s role in pediatric sedation and current regulatory requirements, including the wide disparities that are found between individual State Boards of Nursing (BON) a … [Read More...]

Parent Presentation: One Child’s Journey: A Parent’s Perspective on Sedation, Hospital Care and Beyond
Reviewed by Carmen Sulton, MD

SPS Plenary Session | May 20, 2019, 9:30 am This session took us on a thoughtful journey in the life of Cruise and Jennifer Verdecchia. Jennifer gives us careful details about what it feels like to have a child sedated - and sedated often. Jennifer is the Mom to four boys, ages seven, five, two and one years. Cruise, her oldest son, was d … [Read More...]

High Reliability – a Road or an Endpoint
Reviewed by Lia Lowrie, MD

SPS Plenary Session | May 20, 2019 8:00 am | Daniel Hyman Dan Hyman is Chief Medical and Patient Safety Officer for Children’s Hospital Colorado. He provided us with a quick but meaty overview of what high reliability really means as it applies to institutional culture and change. He started with the definition of reliability, freedom from ope … [Read More...]

Smart Tots Update
Reviewed by Sue Kost, MD, FAAP

SPS Plenary Session May 21, 2019 | 9:00 am | Vesna Jevtovic-Todorovic, MD, PhD, MBA SPS 2019 Annual Conference attendees experienced a unique opportunity to explore revolutionary research on the topic of anesthetic- and sedative-related neurotoxicity with a pioneer in the field, Vesna Jevtovic-Todorovic, MD, PhD, Professor and Chair of … [Read More...]

International Sedation Practices
Reviewed by Elise van der Jagt, MD, MPH

SPS Plenary Session | May 21, 2019, 12:45 pm | Yoke Hwee Chan, MBBS Dr. Yoke Hwee Chan, Pediatric Intensivist, Chair of SingHealth Duke-NUS Paediatrics Academic Clinical Programme, and Chair of the Division of Medicine at KKK Women’s and Children’s Hospital in Singapore came from halfway across the world to present on international sedation pra … [Read More...]

SPS Research – Database Mining and Prospective Trials
Reviewed by Daniel Tsze, MD, MPH

SPS Plenary Session | May 21, 2019 8:15 am | Kevin Couloures and Daniel Tsze Dr. Couloures began by explaining what data mining is and then provided some examples of the studies that have been completed so far using the Pediatric Sedation Research Consortium database. He summarized research findings and use of the database for the purpose of … [Read More...]

How to Do Research in a Clinical Setting
Reviewed by Nancy Crego, PhD, RN, CCRN

SPS Plenary Session | May 21, 2019 9:45 am | Maala Bhatt and Joseph Cravero The prospect of conducting sedation research in a clinical setting is exciting and full of promise but a challenge in many respects. During this session, Drs. Bhatt and Cravero provided a thoughtful and comprehensive approach for conducting sedation research, providing … [Read More...]

Pediatric Sedation State Scale
Reviewed by Jason Reynolds, MD

SPS Plenary Session | May 22, 2019, 8:00 am | Joseph P. Cravero, MD Dr. Cravero opened with a reference to an obscure baseball team that apparently wears red socks. He then went on to hit a home run by walking us through the evolution of the Pediatric Sedation State Score (PSSS). The story really begins with the Dartmouth Summit of Pediatric S … [Read More...]

What Does a Radiologist Need from a Sedationist?
Reviewed by Lorie Reilly, MSN, CRNP, CPNP

SPS Plenary Session | May 22, 2019, 8:30 am | Dr. Erica Riedesel It’s not just about “holding still”. Dr. Riedesel discussed the radiologist’s perspective for radiologic studies. It’s about obtaining excellent quality diagnostic images, minimizing complications, and improving the patient experience. From VCUGs in which patients need to be relax … [Read More...]

Counting the Pennies in the Sedation Unit vs Operating Room Care: Performing a Cost Analysis
Reviewed by Ben Jackson, MD

SPS Plenary Session | May 22, 2019, 9:15 am | Lia Lowrie, MD Attendees on the final morning of the 2019 SPS Annual Conference were treated to an insightful plenary session by past SPS President Lia Lowrie, MD, Division Director of Pediatric Critical Care and Medical Director of Patient Safety and Quality at Cardinal Glennon Children’s Hospital in S … [Read More...]

Challenging Sedation Cases: Stump the Experts
Reviewed by Trish Scherrer, MD

SPS Plenary Session | May 22, 2019, 9:45 am Moderator: Lorie Reilly Panel: Laura Mitchell, Amber Rogers, Carmen Sulton Our closing plenary session for the 2019 conference was the ever-popular “stump the experts” panel. The panel discussed a total of six challenging cases this year. Case #1 The first patient was a seven year-old presenting … [Read More...]

Is it a Child Life Specialist’s Role to Support an Adult Patient with Diagnosed Developmental Delays?
By Laura Mitchell, CCLS

At the SPS conference in Denver last May, one of the vignettes discussed during the Stump the Experts Panel centered around a 23 year-old patient diagnosed with an Autism Spectrum Disorder. During the panel, we talked about the very real concerns surrounding the treatment of adult patients in pediatric facilities. For Child Life Specialists … [Read More...]

An official publication of the
Society for Pediatric Sedation^®

Volume 8, Number 3 – Focus on Education

Continuing to Meet the Needs of Our Members, Our Patients and Their Families
By Sue Kost, MD, FAAP

Conference Reviews – Monday, May 20