Moderate and deep sedation for non-invasive paediatric procedures in tertiary maternity and children’s hospitals in China: A questionnaire survey from China
Background : Moderate and deep sedation are well-established techniques in many developed countries, and several guidelines have been published. However, they have received attention in China only in recent years. The aim of this study is to investigate current paediatric sedation practices in tertiary children’s hospitals and tertiary maternity and children hospitals in China. Methods : All tertiary children’s hospitals and tertiary maternity and children hospitals registered with the National Health Commission of the People’s Republic of China were invited to participate in an electronic survey, which included information on the sedation caseload, facility availability, staff structure, clinical skill requirements for sedation providers, fasting guidelines, patient-monitoring practices, and choice of sedatives. Results : Fifty-eight of the 63 hospitals that completed the survey (92.1%) provided moderate and deep sedation. Dedicated sedation rooms and post-sedation recovery rooms were found in 14 (24.1%) and 19 (32.8%) hospitals, respectively. Sedation for non-invasive procedures was primarily performed by anaesthesiologists (69.0%); however, 75.9% of the sedation providers had not received paediatric basic or advanced life-support training. Children were asked to fast from clear liquids for at least 2 hours in 44.8% of hospitals and up to 6 hours in 5.2% of hospitals; they were asked to fast from solid food/milk for at least 4 hours in 27.6% of hospitals and more than 8 hours in 1.7% of hospitals. The most commonly used sedative in all groups was chloral hydrate. For rescue, propofol was the most widely used sedative, particularly for children older than 4 years. Conclusions : Moderate and deep sedation practices vary widely in tertiary children’s hospitals and tertiary maternity and children hospitals in China. Optimised practices should be established to improve the quality of moderate and deep sedation.
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Posted 31 Dec, 2019
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On 20 Oct, 2019
On 20 Oct, 2019
On 25 Sep, 2019
On 31 Aug, 2019
Received 31 Aug, 2019
On 31 Aug, 2019
Received 31 Aug, 2019
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On 30 Jul, 2019
On 15 Jul, 2019
On 09 Jul, 2019
On 09 Jul, 2019
On 27 Jun, 2019
Moderate and deep sedation for non-invasive paediatric procedures in tertiary maternity and children’s hospitals in China: A questionnaire survey from China
Posted 31 Dec, 2019
On 08 Jan, 2020
On 27 Dec, 2019
On 26 Dec, 2019
On 25 Dec, 2019
On 25 Dec, 2019
On 20 Dec, 2019
On 12 Dec, 2019
On 11 Dec, 2019
On 11 Dec, 2019
On 05 Dec, 2019
On 26 Nov, 2019
On 25 Nov, 2019
On 25 Nov, 2019
On 18 Nov, 2019
Received 03 Nov, 2019
On 24 Oct, 2019
On 21 Oct, 2019
Invitations sent on 21 Oct, 2019
On 20 Oct, 2019
On 20 Oct, 2019
On 25 Sep, 2019
On 31 Aug, 2019
Received 31 Aug, 2019
On 31 Aug, 2019
Received 31 Aug, 2019
Invitations sent on 30 Jul, 2019
On 30 Jul, 2019
On 15 Jul, 2019
On 09 Jul, 2019
On 09 Jul, 2019
On 27 Jun, 2019
Background : Moderate and deep sedation are well-established techniques in many developed countries, and several guidelines have been published. However, they have received attention in China only in recent years. The aim of this study is to investigate current paediatric sedation practices in tertiary children’s hospitals and tertiary maternity and children hospitals in China. Methods : All tertiary children’s hospitals and tertiary maternity and children hospitals registered with the National Health Commission of the People’s Republic of China were invited to participate in an electronic survey, which included information on the sedation caseload, facility availability, staff structure, clinical skill requirements for sedation providers, fasting guidelines, patient-monitoring practices, and choice of sedatives. Results : Fifty-eight of the 63 hospitals that completed the survey (92.1%) provided moderate and deep sedation. Dedicated sedation rooms and post-sedation recovery rooms were found in 14 (24.1%) and 19 (32.8%) hospitals, respectively. Sedation for non-invasive procedures was primarily performed by anaesthesiologists (69.0%); however, 75.9% of the sedation providers had not received paediatric basic or advanced life-support training. Children were asked to fast from clear liquids for at least 2 hours in 44.8% of hospitals and up to 6 hours in 5.2% of hospitals; they were asked to fast from solid food/milk for at least 4 hours in 27.6% of hospitals and more than 8 hours in 1.7% of hospitals. The most commonly used sedative in all groups was chloral hydrate. For rescue, propofol was the most widely used sedative, particularly for children older than 4 years. Conclusions : Moderate and deep sedation practices vary widely in tertiary children’s hospitals and tertiary maternity and children hospitals in China. Optimised practices should be established to improve the quality of moderate and deep sedation.
Figure 1
Figure 2
Figure 3