The anesthesia directed sedation service

Models, protocols, and challenges

Joss J. Thomas, Keira P. Mason

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

Children undergo painful or distressing procedures in remote locations where anesthesia providers (anesthesiologists, certified registered nurse anesthetists, anesthesia assistants) are not always readily available. In these situations, sedation models with nonanesthesia care providers are necessary to fill the void that anesthesia services cannot provide. Many procedures do not require general anesthesia (even for the pediatric population), and may be accomplished with varying depths of sedation. Anesthesia, as a specialty, offers a special expertise which can be applied to the development, oversight, and implementation of a sedation service. Anesthesiologists already have knowledge of sedatives, analgesics, and anesthetics and possess the advanced intervention skills necessary to rescue from respiratory and hemodynamic compromise. This specialty has taken an active role in establishing guidelines and standards for the sedation of both adults and children over several decades. In addition, the Institute of Medicine recognizes the field of anesthesia as a model of patient safety: anesthesia associated mortality is currently considered to be as low as 1/200,000 or 300,000 anesthetics administered [1]. Sedation can be considered to be an extension of the specialty: knowledge of the cardiovascular and respiratory physiology, as well as the pharmacology of sedative agents are inherent to this discipline.

Original languageEnglish (US)
Title of host publicationPediatric Sedation Outside of the Operating Room
Subtitle of host publicationA Multispecialty International Collaboration
PublisherSpringer New York
Pages179-198
Number of pages20
ISBN (Electronic)9780387097145
ISBN (Print)9780387097138
DOIs
StatePublished - Jan 1 2012

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Anesthesia
Hypnotics and Sedatives
Anesthetics
Respiratory Physiological Phenomena
Cardiovascular Physiological Phenomena
Nurse Anesthetists
National Academies of Science, Engineering, and Medicine (U.S.) Health and Medicine Division
Patient Safety
General Anesthesia
Analgesics
Hemodynamics
Nurses
Pharmacology
Guidelines
Pediatrics
Mortality
Population
Anesthesiologists

Cite this

Thomas, J. J., & Mason, K. P. (2012). The anesthesia directed sedation service: Models, protocols, and challenges. In Pediatric Sedation Outside of the Operating Room: A Multispecialty International Collaboration (pp. 179-198). Springer New York. https://doi.org/10.1007/978-0-387-09714-5_12

The anesthesia directed sedation service : Models, protocols, and challenges. / Thomas, Joss J.; Mason, Keira P.

Pediatric Sedation Outside of the Operating Room: A Multispecialty International Collaboration. Springer New York, 2012. p. 179-198.

Research output: Chapter in Book/Report/Conference proceedingChapter

Thomas, JJ & Mason, KP 2012, The anesthesia directed sedation service: Models, protocols, and challenges. in Pediatric Sedation Outside of the Operating Room: A Multispecialty International Collaboration. Springer New York, pp. 179-198. https://doi.org/10.1007/978-0-387-09714-5_12
Thomas JJ, Mason KP. The anesthesia directed sedation service: Models, protocols, and challenges. In Pediatric Sedation Outside of the Operating Room: A Multispecialty International Collaboration. Springer New York. 2012. p. 179-198 https://doi.org/10.1007/978-0-387-09714-5_12
Thomas, Joss J. ; Mason, Keira P. / The anesthesia directed sedation service : Models, protocols, and challenges. Pediatric Sedation Outside of the Operating Room: A Multispecialty International Collaboration. Springer New York, 2012. pp. 179-198
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