Conscious Sedation

Conscious sedation is a medically controlled state of depressed consciousness that allows protective reflexes to be maintained, retains the patient's ability to maintain a patent airway independently and continuously, and permits appropriate response by the patient to physical stimulation or verbal command.

The goals of conscious sedation are to minimize fear and anxiety, maintain patient safety, control behavior, provide amnesia, and return the patient to a state for safe discharge. Factors involved in the selection of the sedation regimen include the specific procedure being performed, duration of procedure, the developmental age and physical condition of the child, and physician experience with the agents. Practice guidelines for the sedation of children are noted in Table 13.0.-11,.

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