Pediatric Sedation Outside of the Operating Room: A Multispecialty International Collaboration

Front Cover
Keira P. Mason
Springer, Oct 11, 2014 - Medical - 755 pages

This is a major revision, updating, and expansion of the leading single-source volume on pediatric sedation outside of the operating room. Edited and written by an international roster of outstanding experts, it is the only book aimed at the broad range of specialists who deliver pediatric sedation in the non-OR setting.

The Second Edition features a significant expansion of contributions from international leaders and individual new chapters on pre-sedation assessment; sedatives’ short- and long-term effects on neurocognition; non-pharmacologic distractions; Michael Jackson’s death and medical ethics; the role of simulation in safety and training; and palliative sedation in terminally ill children.

The specialty-specific chapters continue to be geared toward all sedation providers, regardless of where they practice and patient safety is again emphasized. Fundamental chapters provide in-depth reviews of topics which include, among others, physiology and pharmacology. The book presents the latest guidelines across the specialties, both in the United States and abroad and noteworthy, ongoing research endeavors.

From reviews of the First Edition:

“This meritorious volume is a splendid collection of materials from highly experienced authors...I will make extensive use of this reference as the academic medical center in which I work continues to build sedation practices and assess credentialing/privileging aspects for professionals of all fields.” —Joseph R. Tobin, MD in Journal of the American Medical Association.

“Brings together sedation practice from a broad range of specialties into one well-written pediatric text...I will certainly be using this book as a reference text in the future.” — Pediatric Anesthesia.

“The first [text] directed at all specialists that treat children who require some sedation...also recognizes the contributions to pediatric sedation of many international societies and governmental organizations...It should be on the shelves of all office-based practices.” —Journal of Neurosurgical Anesthesiology.

"With the ever-increasing opportunities to perform various investigations and therapeutic procedures, combined with increasing demands and expectations from children and their parents, the need and demand for safe and effective sedation of paediatric patients outside the operating room is increasing. Against this background, the second edition of ‘Pediatric Sedation Outside the Operating Room’ is a very timely addition to the anaesthesia literature."—British Journal of Anesthesia

 

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Contents

Pediatric Sedation Outside the Operating Room
2
The History of Sedation
3
Sedation Policies Recommendations and Guidelines Across the Specialties and Continents
17
Procedural Sedation Lets Review the Basics
33
The Presedation Assessment and Implications on Management
41
Sedation Scales and Discharge Criteria How Do They Differ? Which One to Choose? Do They Really Apply to Sedation?
71
Physiological Monitoring for Procedural Sedation The Routine and Beyond
83
The Pediatric Airway Anatomy Challenges and Solutions
95
Pediatric Sedation The Asian ApproachCurrent State of Sedation in China
497
Pediatric Sedation The Approach in Australia and New Zealand
505
Pediatric Sedation in the Underdeveloped Third World An African PerspectiveModels Protocols and Challenges
523
Safety in Sedation
541
Pediatric Sedatives and the Food and Drug Administration FDA Challenges Limitations and Drugs in Development
543
Is There Evidence for LongTerm Neurocognitive Effects of Sedatives?
553
Incidence and Stratification of Adverse Events Associated with Sedation Is There a Benchmark?
559
Medicolegal Risks and Outcomes of Sedation
571

Pediatric Physiology How Does It Differ from Adults?
111
The Pharmacology and Clinical Application of Sedatives Analgesics and Adjuncts
125
Sedatives Effects on Memory and Amnesia
151
Pharmacokinetics and Pharmacodynamics in the Pediatric Population
173
Billing and Reimbursement for Sedation Services in the United States
195
Sedation Models Delivered by Different Specialties A Global Voyage
204
The Pediatric Hospital Medicine Service Models Protocols and Challenges
207
The AnesthesiaDirected Sedation Service Models Protocols and Challenges
227
Sedation in the Neonatal Intensive Care Unit International Practice
243
Sedation in the Pediatric Intensive Care Unit Challenges Outcomes and Future Strategies in the United States
275
Sedation in the Pediatric Intensive Care Unit Current Practice in Europe
329
Sedation for Pediatric Gastrointestinal Procedures
351
Sedation in the Emergency Department A Complex and Multifactorial Challenge
367
Sedation of Pediatric Patients for Dental Procedures The United States European and South American Experience
423
Pediatric Sedation The European Experience and Approach
461
Pediatric Sedation The South American Approach
485
Glossary
583
Improving the Safety of Pediatric Sedation Human Error Technology and Clinical Microsystems
587
Sedation into the TwentySecond Century
614
Intravenous Infusions for Sedation Rationale State of the Art and Future Trends
615
Usage of Complementary and Alternative Medicine in Pediatric Sedation
633
Pediatric Research Designing Implementing and Interpreting Strong Trials
642
Nonpharmacological Distraction Techniques as Sedation Adjunct
655
The Role of Simulation in Safety and Training
675
Michael Jackson Medical Ethics and What Went Wrong
685
Glossary
696
Ethics and Clinical Aspects of Palliative Sedation in the  Terminally Ill Child
698
Future of Pediatric Sedation
711
Epilogue
725
Index
731
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About the author (2014)

Keira P. Mason, MD, is the director of radiology anesthesia at Children's Hospital Boston and the director of the annual conference "Pediatric Sedation Outside of the Operating Room" sponsored by Harvard Medical School.

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