Consensus-Based Recommendations for Standardizing Terminology and Reporting Adverse Events for Emergency Department Procedural Sedation and Analgesia in Children
Received 10 June 2008; received in revised form 11 September 2008; accepted 26 September 2008. published online 21 November 2008.
Refers to article:
Procedural Sedation Goes Utstein: The Quebec Guidelines
, 22 December 2008
Steven M. Green, Donald M. Yealy
Annals of Emergency Medicine
April 2009 (Vol. 53, Issue 4, Pages 436-438) Full Text |
Full-Text PDF (126 KB)
Children commonly require sedation and analgesia for procedures in the emergency department. Establishing accurate adverse event and complications rates from the available literature has been difficult because of the difficulty in aggregating results from previous studies that have used varied terminology to describe the same adverse events and outcomes. Further, serious adverse events occur infrequently, necessitating the study of large numbers of children to assess safety. These limitations prevent the establishment of a sufficiently large database on which evidence-based practice guidelines may be based. We assembled a panel of pediatric sedation researchers and experts to develop consensus-based recommendations for standardizing procedural sedation and analgesia terminology and reporting of adverse events. Our goal was to create a uniform reporting mechanism for future studies to facilitate the aggregation and comparison of results.
aDivision of Emergency Medicine, Montreal Children's Hospital, McGill University, Montreal, Quebec, Canada
bDivision of Emergency Medicine, St. Louis Children's Hospital, Washington University School of Medicine, St. Louis, MO
cDivision of Pediatric Anesthesiology, St. Louis Children's Hospital, Washington University School of Medicine, St. Louis, MO
dDivision of Emergency Medicine, Children's Hospital of Eastern Ontario, University of Ottawa, Ottawa, Ontario, Canada
eDivision of Emergency Medicine, Children's Hospital Boston, Harvard Medical School, Boston, MA
fDepartment of Pediatric Anesthesia, British Columbia Children's Hospital, University of British Columbia, Vancouver, British Columbia, Canada
gDivision of Emergency Medicine, Stollery Children's Hospital, University of Alberta, Edmonton, Alberta, Canada
hDivision of Emergency Medicine, University of Minnesota Children's Hospital Fairview, University of Minnesota Medical School, Minneapolis, MN
Address for correspondence: Maala Bhatt, MD, Division of Emergency Medicine, Montreal Children's Hospital, 2300 Tupper Street, Rm T-122, Montreal, QC, H3H 1P3 Canada; 514-412-4400 ext 22740, fax 514-412-4397
Supervising editor: Steven M. Green, MD
Funding and support: By Annals policy, all authors are required to disclose any and all commercial, financial, and other relationships in any way related to the subject of this article, that might create any potential conflict of interest. See the Manuscript Submission Agreement in this issue for examples of specific conflicts covered by this statement. This work was supported by a Canadian Institutes of Health Research Team Grant in Pediatric Emergency Medicine.
Publication dates: Available online November 20, 2008.
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