Pediatric sedation in North American children's hospitals: A survey of anesthesia providers

Kirk Lalwani, Marlon Michel

Research output: Contribution to journalArticle

36 Citations (Scopus)

Abstract

Background: Information about the existence and organization of pediatric sedation services in North America is not available. We conducted a survey to collect this information from anesthesiologists at pediatric institutions and to identify factors perceived as limiting the development of sedation services. Method: We electronically mailed a confidential survey about pediatric sedation practice to an attending anesthesiologist involved in pediatric sedation at 116 children's hospitals in the United States and Canada. We identified the institutions using Internet resources. Electronic mailing addresses were obtained from departmental websites, society membership directories and departmental administrators. Our follow-up for nonresponders was by a second e-mail and a telephone call. Results: A total of 54 completed questionnaires were received, a response rate of 47%. Forty-nine (91%) were received from US hospitals, and the remainder from Canadian. Fifty percent of hospitals had a formal pediatric sedation service. Fifty-four percent utilized a 'mobile' provider model. Hospital credentialing for nonanesthesiologist providers varied between 66 and 76% for 'deep' and 'conscious' sedation, respectively. A nurse-physician provider combination was the most common, utilized in 59% of hospitals. Anesthesiologists were the sole sedation providers in 26% of institutions. Propofol was used regularly by nonanesthesiologists for sedation of nonintubated (42%) and intubated (63%) patients. Eighty-seven percent of institutions reported barriers to development of pediatric sedation services. The most common barrier was a shortage of providers, particularly anesthesiologists. Conclusions: Propofol use by nonanesthesiologists is common. Addressing the shortage of providers, and allocating resources for credentialing providers will encourage further development of pediatric sedation practice.

Original languageEnglish (US)
Pages (from-to)209-213
Number of pages5
JournalPaediatric Anaesthesia
Volume15
Issue number3
DOIs
StatePublished - 2005

Fingerprint

Anesthesia
Pediatrics
Credentialing
Propofol
Deep Sedation
Conscious Sedation
Directories
Postal Service
North America
Surveys and Questionnaires
Administrative Personnel
Telephone
Internet
Canada
Nurses
Organizations
Physicians
Anesthesiologists

Keywords

  • Institutions
  • Organization
  • Pediatric
  • Propofol
  • Sedation service
  • Survey

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine
  • Pediatrics, Perinatology, and Child Health

Cite this

Pediatric sedation in North American children's hospitals : A survey of anesthesia providers. / Lalwani, Kirk; Michel, Marlon.

In: Paediatric Anaesthesia, Vol. 15, No. 3, 2005, p. 209-213.

Research output: Contribution to journalArticle

@article{41773d5fa36d4a72910789b15f60c174,
title = "Pediatric sedation in North American children's hospitals: A survey of anesthesia providers",
abstract = "Background: Information about the existence and organization of pediatric sedation services in North America is not available. We conducted a survey to collect this information from anesthesiologists at pediatric institutions and to identify factors perceived as limiting the development of sedation services. Method: We electronically mailed a confidential survey about pediatric sedation practice to an attending anesthesiologist involved in pediatric sedation at 116 children's hospitals in the United States and Canada. We identified the institutions using Internet resources. Electronic mailing addresses were obtained from departmental websites, society membership directories and departmental administrators. Our follow-up for nonresponders was by a second e-mail and a telephone call. Results: A total of 54 completed questionnaires were received, a response rate of 47{\%}. Forty-nine (91{\%}) were received from US hospitals, and the remainder from Canadian. Fifty percent of hospitals had a formal pediatric sedation service. Fifty-four percent utilized a 'mobile' provider model. Hospital credentialing for nonanesthesiologist providers varied between 66 and 76{\%} for 'deep' and 'conscious' sedation, respectively. A nurse-physician provider combination was the most common, utilized in 59{\%} of hospitals. Anesthesiologists were the sole sedation providers in 26{\%} of institutions. Propofol was used regularly by nonanesthesiologists for sedation of nonintubated (42{\%}) and intubated (63{\%}) patients. Eighty-seven percent of institutions reported barriers to development of pediatric sedation services. The most common barrier was a shortage of providers, particularly anesthesiologists. Conclusions: Propofol use by nonanesthesiologists is common. Addressing the shortage of providers, and allocating resources for credentialing providers will encourage further development of pediatric sedation practice.",
keywords = "Institutions, Organization, Pediatric, Propofol, Sedation service, Survey",
author = "Kirk Lalwani and Marlon Michel",
year = "2005",
doi = "10.1111/j.1460-9592.2005.01437.x",
language = "English (US)",
volume = "15",
pages = "209--213",
journal = "Paediatric Anaesthesia",
issn = "1155-5645",
publisher = "Wiley-Blackwell",
number = "3",

}

TY - JOUR

T1 - Pediatric sedation in North American children's hospitals

T2 - A survey of anesthesia providers

AU - Lalwani, Kirk

AU - Michel, Marlon

PY - 2005

Y1 - 2005

N2 - Background: Information about the existence and organization of pediatric sedation services in North America is not available. We conducted a survey to collect this information from anesthesiologists at pediatric institutions and to identify factors perceived as limiting the development of sedation services. Method: We electronically mailed a confidential survey about pediatric sedation practice to an attending anesthesiologist involved in pediatric sedation at 116 children's hospitals in the United States and Canada. We identified the institutions using Internet resources. Electronic mailing addresses were obtained from departmental websites, society membership directories and departmental administrators. Our follow-up for nonresponders was by a second e-mail and a telephone call. Results: A total of 54 completed questionnaires were received, a response rate of 47%. Forty-nine (91%) were received from US hospitals, and the remainder from Canadian. Fifty percent of hospitals had a formal pediatric sedation service. Fifty-four percent utilized a 'mobile' provider model. Hospital credentialing for nonanesthesiologist providers varied between 66 and 76% for 'deep' and 'conscious' sedation, respectively. A nurse-physician provider combination was the most common, utilized in 59% of hospitals. Anesthesiologists were the sole sedation providers in 26% of institutions. Propofol was used regularly by nonanesthesiologists for sedation of nonintubated (42%) and intubated (63%) patients. Eighty-seven percent of institutions reported barriers to development of pediatric sedation services. The most common barrier was a shortage of providers, particularly anesthesiologists. Conclusions: Propofol use by nonanesthesiologists is common. Addressing the shortage of providers, and allocating resources for credentialing providers will encourage further development of pediatric sedation practice.

AB - Background: Information about the existence and organization of pediatric sedation services in North America is not available. We conducted a survey to collect this information from anesthesiologists at pediatric institutions and to identify factors perceived as limiting the development of sedation services. Method: We electronically mailed a confidential survey about pediatric sedation practice to an attending anesthesiologist involved in pediatric sedation at 116 children's hospitals in the United States and Canada. We identified the institutions using Internet resources. Electronic mailing addresses were obtained from departmental websites, society membership directories and departmental administrators. Our follow-up for nonresponders was by a second e-mail and a telephone call. Results: A total of 54 completed questionnaires were received, a response rate of 47%. Forty-nine (91%) were received from US hospitals, and the remainder from Canadian. Fifty percent of hospitals had a formal pediatric sedation service. Fifty-four percent utilized a 'mobile' provider model. Hospital credentialing for nonanesthesiologist providers varied between 66 and 76% for 'deep' and 'conscious' sedation, respectively. A nurse-physician provider combination was the most common, utilized in 59% of hospitals. Anesthesiologists were the sole sedation providers in 26% of institutions. Propofol was used regularly by nonanesthesiologists for sedation of nonintubated (42%) and intubated (63%) patients. Eighty-seven percent of institutions reported barriers to development of pediatric sedation services. The most common barrier was a shortage of providers, particularly anesthesiologists. Conclusions: Propofol use by nonanesthesiologists is common. Addressing the shortage of providers, and allocating resources for credentialing providers will encourage further development of pediatric sedation practice.

KW - Institutions

KW - Organization

KW - Pediatric

KW - Propofol

KW - Sedation service

KW - Survey

UR - http://www.scopus.com/inward/record.url?scp=14944381473&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=14944381473&partnerID=8YFLogxK

U2 - 10.1111/j.1460-9592.2005.01437.x

DO - 10.1111/j.1460-9592.2005.01437.x

M3 - Article

C2 - 15725318

AN - SCOPUS:14944381473

VL - 15

SP - 209

EP - 213

JO - Paediatric Anaesthesia

JF - Paediatric Anaesthesia

SN - 1155-5645

IS - 3

ER -