• Piet L Leroy, Baruch S Krauss, Luciane R Costa, Egidio Barbi, Michael G Irwin, Douglas W Carlson, Anthony Absalom, Gary Andolfatto, Mark G Roback, Franz E Babl, Keira P Mason, James Roelofse, Paulo S Costa, Steven M Green, and International Committee for the Advancement of Procedural Sedation.
• Department of Pediatrics, Maastricht University Medical Centre and School of Health Professions Education, Maastricht University, Maastricht, The Netherlands. Electronic address: p.leroy@mumc.nl.
• Br J Anaesth. 2024 Sep 25.

AbstractProcedural sedation is practised by a heterogeneous group of practitioners working in a wide array of settings. However, there are currently no accepted standards for the competencies a sedation practitioner should have, the content of sedation training programmes, and guidelines for credentialing. The multidisciplinary International Committee for the Advancement of Procedural Sedation sought to develop a consensus statement on the following: which competencies should medical or dental practitioners have for procedural sedation and how are they obtained, assessed, maintained, and privileged. Using the framework of Competency-Based Medical Education, the practice of procedural sedation was defined as a complex professional task requiring demonstrable integration of different competencies. For each question, the results of a literature review were synthetised into preliminary statements. Following an iterative Delphi review method, final consensus was reached. Using multispeciality consensus, we defined procedural sedation competence by identifying a set of core competencies in the domains of knowledge, skills, and attitudes across physical safety, effectiveness, psychological safety, and deliberate practice. In addition, we present a standardised framework for competency-based training and credentialing of procedural sedation practitioners.Copyright © 2024 The Author(s). Published by Elsevier Ltd.. All rights reserved.

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