Page 2 of 23 sedation category dissociative sedation is a trancelike cataleptic state characterized by profound analgesia and amnesia with retention of protective airway reflexes spontaneous respirations and cardiopulmonary stability13 the acep has published several clinical policies pertaining to procedural sedation and analgesia. Procedural sedation and analgesia psa is an evolving field in pediatric emergency medicine as new drugs breach the boundaries of anesthesia in the pediatric emergency department parents patients and physicians are finding new and more satisfactory methods of sedation. For many years pediatric patients undergoing procedures in the ed have received inadequate pain management and sedation childrens and parents anxieties and distress leading up to and during a potentially painful or anxiety inducing procedure are now more easily mitigated by the appropriate use of a variety of pediatric appropriate analgesics sedatives and anxiolytics. Practice guidelines for moderate procedural sedation and analgesia 2018 a report by the american society of anesthesiologists task force on moderate procedural sedation and analgesia the . Pediatric procedural sedation and analgesia lisa doyle mdat james e colletti mdb adepartment of emergency medicine university of arizona university physicians hospital 2800 east ajo way tucson az 85713 usa bdepartment of emergency medicine regions hospital 640 jackson street mail stop 11102f st paul mn 55101 2502 usa children often present to physicians and other medical
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