Paediatric Sedation

Airway: Own
Access: Pain: Position: Time: Blood loss: Special:

Sedation outside the operating theatre is commonly required for:

Considerations

Appropriate for in-patient vs. outpatient sedation
- Outpatient usually appropriate for ASA I-II
- Infants under 1 year of age are particularly sensitive
  Usually not appropriate for outpatient sedation.
A
- Airway abnormalities
- Aspiration risk
  - Fasting status
  - Bowel obstruction
B
- Respiratory failure
- Active respiratory infection
C
- Cardiac failure
D
- Raised ICP
- High anxiety
  - Sedation usually not appropriate for an uncooperative child
  - Forced restraint is not helpful
E
- Neuromuscular disease

Discharge criteria: