Many hospitals, and medical and dental clinics and offices, routinely monitor their procedural-sedation practices-tracking adverse events, outcomes, and efficacy in order to optimize the sedation delivery and practice. Currently, there exist substantial differences between settings in the content, collection, definition, and interpretation of such sedation outcomes, with resulting widespread reporting variation. With the objective of reducing such disparities, the International Committee for the Advancement of Procedural Sedation has herein developed a multidisciplinary, consensus-based, standardized tool intended to be applicable for all types of sedation providers in all locations worldwide. This tool is amenable for inclusion in either a paper or an electronic medical record. An additional, parallel research tool is presented to promote consistency and standardized data collection for procedural-sedation investigations.

incidence of aspiration during anaesthesia-assisted colonoscopy in, presumably, fasted patients [5]. Such incidences cannot be dismissed as 'negligible'. While we agree with the authors that the incidence of pulmonary aspiration is low, a basic tenet of this has been the application of fasting guidelines. Furthermore, the risk to patients from aspiration derives not only from its incidence but also its consequences, which may be severe. Aspiration remains the leading cause of death and brain injury in airway management [3].