Incidence and stratification of adverse events associated with sedation: Is there a benchmark?

Mark G Roback

Research output: Chapter in Book/Report/Conference proceedingChapter

1 Scopus citations

Abstract

A signifi cant and growing number of children receive sedation for procedures performed outside of the operating room each year. While a large number of studies have reported on adverse events occurring in association with procedural sedation in many of these settings, benchmarks for sedation adverse event rates have not been formally established. The intent of this chapter is to add some clarity to the concept that, unlike adverse outcomes (e.g., death, permanent neurologic injury) that are largely preventable and should not occur, the occurrence of adverse events is unavoidable, and acceptable rates of adverse events should exist. Once acceptable rates of sedation adverse events are established, sedation providers and programs should be able to compare their individual outcomes to these national and international standards. This chapter will examine current sedation practice outside the operating room and associated adverse events. It will focus on important barriers that must be overcome before meaningful adverse event rates may be determined and best practice guidelines established.

Original languageEnglish (US)
Title of host publicationPediatric Sedation Outside of the Operating Room
Subtitle of host publicationA Multispecialty International Collaboration, Second Edition
PublisherSpringer New York
Pages559-569
Number of pages11
ISBN (Electronic)9781493913909
ISBN (Print)9781493913893
DOIs
StatePublished - Jan 1 2015

Keywords

  • Adverse events
  • Anesthesia
  • Benchmarks
  • Best practice guidelines
  • Closed claims project
  • International sedation task force (ISTF)
  • Objective risk assessment tool for sedation (ORATS)
  • Pediatric sedation research consortium (PSRC)
  • Quebec guidelines
  • Sedation
  • World society of intravenous anesthesia (world siva)

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