In the ED environment, conscious sedation should only be performed by physicians appropriately skilled in airway and resuscitation management, and only for patients considered to be class I or class II (Table 13.0:11). The American Academy of Pediatrics and the American Society of Anesthesiologists (ASA) have published guidelines for monitoring and management of pediatric patients during and after sedation for diagnostic and therapeutic procedures. 78 Salient features of these documents are discussed below and should be incorporated into the ED's sedation policy.
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