Advancing Pediatric Sedation for Safe and Effective Emergency Care
Promoting excellence in pediatric sedation through education, guidelines, and research
Pediatric sedation is a crucial aspect of emergency medicine. Its primary aim is to induce
relaxation, alleviate anxiety, and manage pain during various medical procedures. Its
historical roots date back to ancient civilizations, like the use of opium by Greek physicians
for pain relief. In modern medicine, sedation techniques have evolved, offering a range of
options with distinct pros and cons. Pediatric emergency professionals recognize its vital role
and are committed to delivering top-quality care to young patients.
Safely transition patients post-sedation
Facilitate safe procedure completion
Control anxiety, minimize trauma, and promote amnesia
Minimize physical discomfort and pain
Ensure patient safety
Access evidence-based guidelines and clinical pathways for safe and effective sedation in pediatric emergency medicine. Enhance patient safety, streamline practices, and deliver exceptional care.
Sedation Mapping Survey 2023 – including all pediatric emergency units [embedded or
reproduced document]
Statistics
Adverse events – online report form
Downloadable consent forms, timeout, and sedation forms
| Organization | Description | URL |
|---|---|---|
| Texas Children's Hospital | Comprehensive 2023 guideline for procedural sedation including patient selection, monitoring, medications, and discharge criteria. | View PDF |
| EMSC Improvement Center (Emergency Medical Services for Children) | Educational resources and best practices for pediatric procedural sedation, focusing on safety and quality improvement. | Visit Site |
| Children's Hospital of Philadelphia (CHOP) | Clinical pathway for procedural sedation including preparation, risk stratification, monitoring, and recovery processes. | Visit Pathway |
| Royal Children's Hospital Melbourne (RCH) | Evidence-based guideline for procedural sedation covering assessment, medication choices, monitoring, and aftercare. | View Guideline |
| Society for Pediatric Sedation (SPS) | Educational offerings, clinical resources, and professional development opportunities to advance safe and effective pediatric sedation. | Visit Offerings |
| Israeli Medical Association (IMA) | Guideline on pain management and procedural sedation in children, published as part of the clinical guidelines series (in Hebrew). | View PDF |
| American Academy of Pediatrics (AAP) | Guidelines for monitoring and management of pediatric patients during and after sedation for diagnostic and therapeutic procedures. | View Guideline |
| Canadian Paediatric Society (CPS) | Position statement with recommendations for procedural sedation in infants, children, and adolescents, emphasizing safe practice standards. | View Statement |
| Don't Forget the Bubbles (DFTB) | Educational module on analgesia and procedural sedation for children, designed for clinicians with practical approaches and learning resources. | Visit Module |
| Conference | Dates | Location | Website | Description |
|---|---|---|---|---|
| SPS Annual Conference | Sep 18–20, 2025 | Atlanta, GA, USA | Link | Focuses on advancing the science and practice of pediatric sedation through multidisciplinary collaboration. |
| AAP National Conference | Sep 26–30, 2025 | Denver, CO, USA | Link | A comprehensive conference covering the full spectrum of pediatric health, research, and practice. |
| EUSEM Congress | Sep 27–Oct 1, 2025 | Vienna, Austria | Link | A leading European congress for professionals in emergency medicine, covering all aspects of acute patient care. |
| ESPA Congress | Oct 2–4, 2025 | Berlin, Germany | Link | Concentrates on the latest advancements and best practices in pediatric anesthesiology and intensive care. |
| SPA Annual Meeting | Oct 10, 2025 | San Antonio, TX, USA | Link | Addresses key topics and innovations in pediatric anesthesia, critical care, and pain management. |
| ACEP Scientific Assembly | Sep 7–10, 2025 | Salt Lake City, UT, USA | Link | The world's largest emergency medicine educational conference, showcasing cutting-edge research and training. |
| Snow & Sedation Conference | Feb 14–20, 2026 | Park City, UT, USA | Link | Provides practical, hands-on training in ultrasound-guided procedures and sedation for various specialties. |
| SPPM Annual Meeting | Mar 12, 2026 | Denver, CO, USA | Link | Focuses on the management of acute and chronic pain in children, including related sedation techniques. |
| SPA–AAP Peds Anesthesiology | Mar 13–15, 2026 | Denver, CO, USA | Link | A joint meeting highlighting clinical advancements and research in pediatric anesthesiology. |
| ICEM 2026 | Jun 9–13, 2026 | Hamburg, Germany | Link | The flagship international conference for emergency medicine, promoting global collaboration and knowledge exchange. |
| PROSA 2026 | Sep 10–11, 2026 | Maastricht, Netherlands | Link | A specialized conference dedicated to the field of pediatric procedural sedation and analgesia. |
| SPS Annual Conference | Sep 24–26, 2026 | New Orleans, LA, USA | Link (bottom of page) | Gathers clinicians and researchers to share insights and best practices in the field of pediatric sedation. |
| Year | Title | Authors | Journal | Description | Key Message | Link |
|---|---|---|---|---|---|---|
| 2025 | Dissociative and Deep Sedations Administered by Trained Unsupervised Pediatric Residents in Israeli Emergency Departments | Neta Cohen, Nitai Levy, Jordanna H Koppel, Layah Alkoby-Meshulam, Nir Friedman, Gidon Test, Nachshon Buchshtav, Giora Weiser, Adi Klein, Irena Chistyakov, Itai Shavit; ISPERN | Annals of Emergency Medicine | Multicenter retrospective study of resident- vs attending-performed deep sedations in pediatric ED. | Trained residents safely administer deep sedation with minimal critical event frequency (~0.03%). | PubMed |
| 2024 | Building Blocks-A Block-by-Block Approach to Better Emergency Care in Children | Yair Katzir, Lior Ganor, Ron Berant, Keren Shahar-Nissan | Pediatric Emergency Care | Toolkit of regional nerve blocks in the pediatric ED—eight ultrasound-guided plus anatomical block cases. | Regional nerve blocks are safe and effective alternatives to sedation. | PubMed |
| 2024 | Practice Variation and Outcomes of Pediatric Procedural Sedation in Israel Emergency Departments | Itai Shavit, Nitai Levy, Yael Dreznik, Michal Soudack, Daniel M Cohen, Ruth Cytter Kuint | European Journal of Pediatrics | Analysis of sedation practice variations across multiple Israeli pediatric EDs. | Standardized sedation protocols are urgently needed. | PubMed |
| 2023 | Analgesia and Sedation of Pediatric Patients with Major Trauma in Pre-Hospital and Emergency Department Settings—A Narrative Review | Neta Cohen, Daniel M Cohen, Egidio Barbi, Itai Shavit | Journal of Clinical Medicine | Review of sedation and analgesia practices for pediatric major trauma across EDs and pre-hospital care. | Analgesia is underutilized in pediatric trauma—training gaps identified. | PubMed |
| 2023 | Safety of Pediatric Sedation and Analgesia During Burn Dressing Changes by Pediatric Residents | Evyatar Hubara, Baruch Berzon, Marianne E Nellis, Reut Ram, Reut Kassif Lerner, Yael Alfandary Many, Oren Feldman, Itai Pessach | Paediatric Anaesthesia | Over 1,100 sedations during burn dressing—tracked adverse events by pediatric residents. | Residency-based sedation is safe and feasible in burn care. | PubMed |
| 2022 | Ultrasound-Guided Supraclavicular Brachial Plexus Blocks Performed by Pediatric Emergency Medicine Physicians for Painful Orthopedic Procedures… | Keren Shahar-Nissan, Ron Berant, Lior Ganor, Yair Katzir | Pediatric Emergency Care | Case series applying ultrasound-guided brachial plexus blocks for forearm procedures in pediatric ED. | Blocks provided safe, effective analgesia, reduced need for sedation and shortened ED stay. | PubMed |
| 2022 | Adverse Events During Sedation for Oro-Dental Trauma in an Israeli Pediatric Emergency Department | Leon Bilder, Simona Librov, Zvi Gutmacher, Idit Pasternak, Itai Shavit | Dental Traumatology | Retrospective comparison of sedation methods (ketamine-propofol vs IM ketamine vs nitrous oxide) | Ketamine-propofol carries significantly higher adverse events than IM ketamine or NO. | PubMed |
| 2021 | Emergency Physician-Administered Sedation for Pneumatic Reduction of Ileocolic Intussusception in Children: A Case Series | Itai Shavit, Danielle Shavit, Oren Feldman, Nir Samuel, Anat Ilivitzki, Daniel M Cohen | The Journal of Emergency Medicine | Case series showing feasibility and safety of ED-physician sedation for intussusception reduction. | ED-physician–administered sedation is feasible and safe for intussusception reduction. | PubMed |
| 2020 | Serious Adverse Events in Pediatric Procedural Sedation Before and After Implementation of a Pre-Sedation Checklist | Simona Librov, Itai Shavit | Journal of Pain Research | Analysis of serious adverse event rates pre/post sedation-checklist implementation. | Checklist use did not significantly reduce serious adverse events. | PubMed |
| 2020 | Pain Management of Upper Limb Fractures in Pediatric Emergency Department Versus General Orthopedics Emergency Department | Dania Takagi, Saharon Less Elazari, Ayelet Shles, Hadas Yechiam, Dana Schujovitzky, Ehud Rosenbloom | European Journal of Pediatrics | Comparison of analgesia approaches for upper limb fractures in pediatrics vs general EDs. | Pediatric EDs provided more appropriately matched analgesia without increased complications. | PubMed |
| 2020 | Emergency Department Revisits Due to Cast-Related Pain in Children with Forearm Fractures | Noa Kvatinsky, Rivka Carmiel, Ronit Leiba, Itai Shavit | Journal of Pain Research | Retrospective cohort study of 2,307 children—4.2% revisited ED due to cast-related pain (CstRP). | Closed reduction and first-visit pain ≥6 predict revisits; analgesia protocols needed. | PubMed |
| 2019 | Propofol Sedation by Pediatric Gastroenterologists for Endoscopic Procedures | Aya Khalila, Itai Shavit, Ron Shaoul | Frontiers in Pediatrics | Retrospective review of pediatric endoscopies sedated with propofol administered by pediatric gastroenterologists in Israeli centers. | Propofol sedation by pediatric gastroenterologists is safe when dosing and monitoring are appropriate. | PubMed |
כל הזכויות שמורות לחוג הישראלי לרפואה דחופה ילדים | האתר עוצב ע״י אלונה לסטר