The American Society of Anesthesiologist's Efforts in Developing Guidelines for Sedation and Analgesia for Nonanesthesiologists

Sedation of neurologically impaired children undergoing MRI: a sequential approach

“…The clinical conditions of the patient were evaluated, and informed consent for sedation and imaging was obtained. Fasting requirements were determined according to the ASA recommendations (15). The absence of exclusion criteria for administration of chloral hydrate and of sevoflurane was verified and the Guided Risk Assessment tool for sedation applied (16).…”

“…Electrocardiogram and noninvasive blood pressure were normally not monitored. All equipment within the magnet room and within the induction room complied with AAP, JCAHO and ASA guidelines (15,18,19). The P E CO 2 monitoring via nasal probes was not possible in 80% because of nontolerance or obstruction of the sample line from nasal secretions.…”

Pediatric procedural sedation and analgesia

“…Age-appropriate endotracheal tubes, laryngoscopes, suctioning devices, and bag-valve masks should be available should more emergent airway management be required. [38912–14]…”

“…[Table 1] outlines the varying levels of sedation. [8] Even during the course of a single PSA, a patient will fluctuate in and out of different levels of consciousness.…”

EXECUTIVE SUMMARY - Management of Procedure-related Pain in Children and Adolescents

“…[8][9][10] The values and attitudes of society, family members and health care professionals, together with health care practices within an organizational system, all present obstacles to optimal pain control. 8,[11][12][13] Preventing pain is not only humane, it can also reduce the risk of subsequent morbidity 14 including delayed healing. 15 One of the consequences of untreated pain is that children of all ages become sensitized to pain.…”