Ask the expert: conscious sedation.

Abstract

The case study illustrates safe use of conscious sedation and careful attention to prevention of complications as outlined in the AAP and ASA practice guidelines. Before implementation of a conscious sedation program, care providers need to have a clear idea of the goals of conscious sedation. These goals, as described by the American Academy of Pediatrics (1992) are: "1) to guard the patient's safety and welfare; 2) to minimize physical discomfort or pain; 3) to minimize negative psychologic responses to treatment by providing analgesia and to maximize the potential for amnesia; 4) to control behavior; and 5) to return the patient to a state in which safe discharge, as determined by recognized criteria, is possible" (p. 1,110). With careful attention to these goals, conscious sedation can be a valuable adjunct to pediatric care.