{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,11]],"date-time":"2026-06-11T17:22:37Z","timestamp":1781198557997,"version":"3.54.1"},"reference-count":23,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2021,3,9]],"date-time":"2021-03-09T00:00:00Z","timestamp":1615248000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Anaesthesiol Scand"],"published-print":{"date-parts":[[2021,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Paediatric procedures requiring sedation are increasingly being performed off site, but there are no national guidelines for paediatric procedural sedation in Finland or studies on it. Therefore, the aim of this survey was to assess national practices for paediatric procedural sedation outside operation rooms and intensive care units in terms of indications, sedative medication, treatment facilities, patient safety and training of the personnel.<\/jats:p><jats:p>An online survey including single\u2010 and multiple\u2010choice questions and open\u2010ended questions was sent to Finnish paediatricians, paediatric surgeons and paediatric anaesthesiologists via the electronic mailing lists of national societies in December 2019.<\/jats:p><jats:p>A total of 71 responses were received. Lumbar puncture (41%), intra\u2010articular injections (38%) and MRI (17%) were the most common procedures that required routine sedation. Benzodiazepines were the most frequently used sedatives during both painful procedures (80%) and imaging (61%). Pulse oximetry monitoring was reported by 75% of the respondents, but other physiological parameters were rarely monitored (ECG 28%; blood pressure 39%; respiratory rate 34%). The level of sedation was not objectively assessed. Adrenaline (72%) and equipment for managing adverse respiratory outcomes (supplemental oxygen 98%; ventilation equipment 92%) were available in most facilities in which sedation was performed. Only one\u2010third of the respondents had undergone training for paediatric procedural sedation, and only 39% of the hospital units compiled statistical data on sedation\u2010related adverse events.<\/jats:p><jats:p>The paediatric procedural sedation practices vary across hospitals. National guidelines for patient monitoring and training of personnel could improve treatment quality and patient safety.<\/jats:p>","DOI":"10.1111\/aas.13799","type":"journal-article","created":{"date-parts":[[2021,2,16]],"date-time":"2021-02-16T13:57:26Z","timestamp":1613483846000},"page":"747-754","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["National survey revealed variable practices in paediatric procedural sedation and patient monitoring"],"prefix":"10.1111","volume":"65","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8109-8684","authenticated-orcid":false,"given":"Miikka","family":"Tervonen","sequence":"first","affiliation":[{"name":"Department of Children and Adolescents Oulu University Hospital Oulu Finland"},{"name":"PEDEGO Research Unit and Medical Research Center Oulu University of Oulu Oulu Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Merja","family":"Kallio","sequence":"additional","affiliation":[{"name":"Department of Children and Adolescents Oulu University Hospital Oulu Finland"},{"name":"PEDEGO Research Unit and Medical Research Center Oulu University of Oulu Oulu Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Outi","family":"Peltoniemi","sequence":"additional","affiliation":[{"name":"Department of Children and Adolescents Oulu University Hospital Oulu Finland"},{"name":"PEDEGO Research Unit and Medical Research Center Oulu University of Oulu Oulu Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,3,9]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/PEC.0b013e3182767d66"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.3390\/medicina54060094"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12887-018-1026-x"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2017.07.006"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/ACO.0000000000000758"},{"issue":"5","key":"e_1_2_7_7_1","first-page":"CD009491","article-title":"Midazolam for sedation before procedures","volume":"2016","author":"Conway A","year":"2016","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_7_8_1","unstructured":"OlsenA IversenC St\u00f8rdalK.Use of nitrous oxide in children.Tidsskr Nor Laegeforen2019;139(12). 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