• Katharina Röher, Karin Becke-Jakob, and Christoph Eich.
• Department of Anesthesiolgy, University Medical Center Hamburg-Eppendorf, Hamburg.
• Curr Opin Anaesthesiol. 2023 Jun 1; 36 (3): 340346340-346.

Purpose Of ReviewThis review gives an overview of the safety aspects for paediatric procedural sedation and a discussion of possibilities for optimizing structure, processes and outcomes.Recent FindingsProcedural sedation in paediatric patients is performed by providers of different specialties and compliance with safety standards is a basic requirement regardless of provider specialty. This includes preprocedural evaluation, monitoring, equipment and profound expertise of sedation teams. The choice of sedative medications and the possibility of incorporating nonpharmacological methods play an important role for optimal outcome. In addition, an ideal outcome from the patient's perspective includes optimized processes and clear and empathetic communication.SummaryInstitutions providing paediatric procedural sedation must ensure the comprehensive training of sedations teams. Furthermore, institutional standards for equipment, processes and optimal choice of medication depending on performed procedure and comorbidities of the patient must be established. At the same time, organizational and communication aspects should be considered.Copyright © 2023 Wolters Kluwer Health, Inc. All rights reserved.

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