The pre-sedation assessment and implications on management

Timothy Horeczko, Mohamed Mahmoud

Research output: Chapter in Book/Report/Conference proceedingChapter

1 Scopus citations


In this chapter we will present the essentials of pre-sedation screening and risk stratifi cation, discuss fasting guidelines, and review the most commonly encountered scenarios and comorbidities that impact sedation management and outcomes. Today’s practice of pediatric sedation (PS) involves ever more complex patients whose care is coordinated with multidisciplinary teams. Technological advances have allowed for the development of various invasive and noninvasive pediatric procedures and imaging modalities, resulting in a tremendous demand for and growth in PS in children. Despite the increasing complexity and patient volume, sedation providers generally meet the child and his family only minutes before the scheduled (or unscheduled) procedure. The provider must assess the situation quickly and accurately to ensure safety and optimal effectiveness. Important data from all available resources should be gathered and synthesized before the procedure to formulate a successful sedation plan within the context of the urgency of the procedure.

Original languageEnglish (US)
Title of host publicationPediatric Sedation Outside of the Operating Room: A Multispecialty International Collaboration, Second Edition
PublisherSpringer New York
Number of pages30
ISBN (Electronic)9781493913909
ISBN (Print)9781493913893
StatePublished - Jan 1 2015
Externally publishedYes


  • Allergies
  • Asthma
  • Autism spectrum disorders (ASD)
  • Behavioral disorders
  • Bronchopulmonary dysplasia (BPD)
  • Cerebral palsy
  • Congenital heart disease
  • Congestive heart failure (CHF)
  • Cyanotic heart disease
  • Cystic fibrosis
  • Developmental delay
  • Diabetes mellitus
  • Endocrinopathies
  • Fasting guidelines
  • Food and drug administration (FDA)
  • History
  • Intellectual disability
  • Mitochondrial disease
  • Muscular dystrophy
  • Musculoskeletal disorders
  • New York heart association classification (NYHA)
  • Obstructive sleep apnea
  • Pediatric sedation
  • Physical exam
  • Pre-sedation
  • Pregnancy
  • Premature infant
  • Psychiatric disorders
  • Reactive airway disease
  • Screening
  • Sickle cell disease
  • Syndromes
  • Trauma
  • Tuberous sclerosis
  • Upper respiratory tract infection

ASJC Scopus subject areas

  • Medicine(all)


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