The Obese Child

Given that the incidence of obesity is increasing worldwide for both adults and children, sedationists will encounter obese children in their practice. Understanding the obesity-related risks of pediatric procedural sedation will assist the sedationist in managing and mitigating these risks. Obesity is associated with an increase in airway-related adverse events and the need for airway interventions during sedation. Obese patients also need modifications in the dosing of sedative and analgesic agents. Obstructive sleep apnea is commonly associated with obesity and should be identified during the presedation evaluation. With proper screening and preparation, obese patients may be safely and successful sedated for diagnostic and therapeutic interventions.