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 Vol. 14 No. 5, November 2005
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AAP Grand Rounds 14:53-54 (2005)
© 2005 American Academy of Pediatrics

ANESTHESIOLOGY

Measuring Pediatric Sedation Safety

Source: Blike GT, Christoffensen K, Cravero JP, et al. A method for measuring system safety and latent errors associated with pediatric procedural sedation. Anesth Analg. 2005;101:48–58.[Abstract/Free Full Text]

The first 20% of the full text of this article appears below.

Authors from Dartmouth-Hitchcock Medical Center in Lebanon, NH, used a pediatric simulator (Medical Education Technologies Inc.) to test the ability of providers in 2 common in-hospital pediatric sedation care settings (the radiology and emergency departments) to administer rescue therapy. The simulator scenarios presented a realistic clinical situation that required interventions to prevent severe cardio-respiratory compromise. The scenarios centered on the management of sedation-related airway obstruction and apnea in a pediatric patient. The simulator airway management scenarios were set to challenge the novice (medical students) but to be within reach of individuals with some airway . . . [Full Text of this Article]

Robert D. Valley, MD, FAAP
Anesthesiology and Pain Medicine, University of North Carolina, UNC Children’s Hospital, Chapel Hill, NC