{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,5]],"date-time":"2026-09-05T07:15:21Z","timestamp":1788592521610,"version":"build-2803163510"},"reference-count":21,"publisher":"American Academy of Pediatrics (AAP)","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2011,5,1]]},"abstract":"<jats:sec>\n                    <jats:title>OBJECTIVE:<\/jats:title>\n                    <jats:p>To determine if pediatric procedural sedation-provider medical specialty affects major complication rates when sedation-providers are part of an organized sedation service.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS:<\/jats:title>\n                    <jats:p>The 38 self-selected members of the Pediatric Sedation Research Consortium prospectively collected data under institutional review board approval. Demographic data, primary and coexisting illness, procedure, medications used, outcomes, airway interventions, provider specialty, and adverse events were reported on a self-audited, Web-based data collection tool. Major complications were defined as aspiration, death, cardiac arrest, unplanned hospital admission or level-of-care increase, or emergency anesthesia consultation. Event rates per 10 000 sedations, 95% confidence intervals, and odds ratios were calculated using anesthesiologists as the reference group and were then adjusted for age, emergency status, American Society of Anesthesiologists physical status &amp;gt; 2, nil per os for solids, propofol use, and clustering by site.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS:<\/jats:title>\n                    <jats:p>Between July 1, 2004, and December 31, 2008, 131 751 pediatric procedural sedation cases were recorded; there were 122 major complications and no deaths. Major complication rates and 95% confidence intervals per 10 000 sedations were as follows: anesthesiologists, 7.6 (4.6\u201312.8); emergency medicine, 7.8 (5.5\u201311.2); intensivist, 9.6 (7.3\u201312.6); pediatrician, 12.4 (6.9\u201320.4); and other, 10.2 (5.1\u201318.3). There was no statistical difference (P &amp;gt; .05) among provider's complication rates before or after adjustment for potential confounding variables.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSIONS:<\/jats:title>\n                    <jats:p>In our sedation services consortium, pediatric procedural sedation performed outside the operating room is unlikely to yield serious adverse outcomes. Within this framework, no differences were evident in either the adjusted or unadjusted rates of major complications among different pediatric specialists.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1542\/peds.2010-2960","type":"journal-article","created":{"date-parts":[[2011,4,25]],"date-time":"2011-04-25T22:29:48Z","timestamp":1303770588000},"page":"e1154-e1160","source":"Crossref","is-referenced-by-count":153,"title":["Impact of Provider Specialty on Pediatric Procedural Sedation Complication Rates"],"prefix":"10.1542","volume":"127","author":[{"given":"Kevin G.","family":"Couloures","sequence":"first","affiliation":[{"name":"Department of Anesthesiology and Critical Care Medicine, Nemours Children's Clinic-Wilmington, Alfred I. duPont Hospital for Children, Wilmington, Delaware;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Beach","sequence":"additional","affiliation":[{"name":"Departments of Anesthesiology and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joseph P.","family":"Cravero","sequence":"additional","affiliation":[{"name":"Departments of Anesthesiology and"},{"name":"Pediatrics, Dartmouth Hitchcock Medical Center, Lebanon, New Hampshire; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kimberly K.","family":"Monroe","sequence":"additional","affiliation":[{"name":"Department of Hospital-Based Medicine, Children's Memorial Hospital and Northwestern University, Chicago, Illinois"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James H.","family":"Hertzog","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Critical Care Medicine, Nemours Children's Clinic-Wilmington, Alfred I. duPont Hospital for Children, Wilmington, Delaware;"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"417","published-online":{"date-parts":[[2011,5,1]]},"reference":[{"issue":"4","key":"2021121006543967700_B1","doi-asserted-by":"crossref","first-page":"430","DOI":"10.1097\/01.aco.0000236145.38722.2f","article-title":"Demographics and trends in nonoperating-room anesthesia","volume":"19","author":"Lalwani","year":"2006","journal-title":"Curr Opin Anaesthesiol"},{"issue":"4 pt 1","key":"2021121006543967700_B2","doi-asserted-by":"crossref","first-page":"805","DOI":"10.1542\/peds.105.4.805","article-title":"Adverse sedation events in pediatrics: a critical incident analysis of contributing factors","volume":"105","author":"Cot\u00e9","year":"2000","journal-title":"Pediatrics"},{"issue":"6","key":"2021121006543967700_B3","doi-asserted-by":"crossref","first-page":"2587","DOI":"10.1542\/peds.2006-2780","article-title":"Guidelines for monitoring and management of pediatric patients during and after sedation for diagnostic and therapeutic procedures: an update","volume":"118","author":"American Academy of Pediatrics; American Academy of Pediatric Dentistry","year":"2006","journal-title":"Pediatrics"},{"issue":"4","key":"2021121006543967700_B4","doi-asserted-by":"crossref","first-page":"1004","DOI":"10.1097\/00000542-200204000-00031","article-title":"Practice guidelines for sedation and analgesia by nonAnesthesiologists","volume":"96","author":"American Society of Anesthesiologists Task Force on Sedation and Analgesia by NonAnesthesiologists","year":"2002","journal-title":"Anesthesiology"},{"issue":"4","key":"2021121006543967700_B5","doi-asserted-by":"crossref","first-page":"378","DOI":"10.1016\/j.annemergmed.2007.11.001","article-title":"EMSC Panel (Writing Committee) on Critical Issues in the Sedation of Pediatric Patients in the Emergency Department. Clinical policy: critical issues in the sedation of pediatric patients in the emergency department","volume":"51","author":"Mace","year":"2008","journal-title":"Ann Emerg Med"},{"key":"2021121006543967700_B6","unstructured":"American Academy of Pediatric Dentistry. Guideline for monitoring and management of pediatric patients during and after sedation for diagnostic and therapeutic procedures. Available at: www.aapd.org\/media\/policies_guidelines\/g_sedation.pdf. Accessed June 29, 2010"},{"key":"2021121006543967700_B7","first-page":"PC41","article-title":"Comprehensive Accreditation Manual for Hospitals (CAMH): The Official Handbook","author":"Joint Commission on Accreditation of Healthcare Organizations","year":"2006"},{"issue":"3","key":"2021121006543967700_B8","doi-asserted-by":"crossref","first-page":"1087","DOI":"10.1542\/peds.2006-0313","article-title":"Pediatric Sedation Research Consortium. 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