PEDIATRICS Vol. 94 No. 3 September 1994, pp. 281-283
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Sedation Protocols—Why So Many Variations?

Charles J. Coté MD1

1 Department of Anesthesiology, Children's Memorial Hospital, Chicago, IL

The Committee on Drugs (COD) of the American Academy of Pediatrics (AAP), along with its many consultants, has spent considerable time addressing the difficult issue of appropriate care for sedated pediatric patients. The Committee's concern has been the continued appearance of reports, nearly always from nonmedical journal sources ("word of mouth", newspapers), of children suffering adverse events (morbidity and mortality) after sedation for procedares that in themselves should not result in any such complications, eg, radiologic investigations.1-4

The original "Guidelines for the Elective Use of Conscious Sedation, Deep Sedation, and General Anesthesia in Pediatric Patients" were published in 1985.5 These were constructed because of concern regarding a number of deaths that occurred in the dental office.6

Submitted on June 1, 1994
Accepted on June 1, 1994




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