Key result
Chinese hospital survey reveals ~76% of pediatric sedation providers lack life-support training.
Why the study?
Moderate and deep paediatric sedation has only recently received attention in China, and current sedation practices across tertiary hospitals were unknown.
Cross-Sectional (n=63)
Yes
There is wide variation in pediatric sedation practices across tertiary hospitals in China, indicating a need for standardized protocols and improved provider training.
Answers are grounded in this paper and cite their sources.
Highlights need for standardized protocols in Chinese pediatric sedation; leaves open prospective safety studies.
Background: Moderate and deep sedation are well-established techniques in many developed countries, and several guidelines have been published. However, they have received attention in China only in recent years. The aim of this study is to investigate current paediatric sedation practices in tertiary children’s hospitals and tertiary maternity and children hospitals in China. Methods: All tertiary children’s hospitals and tertiary maternity and children hospitals registered with the National Health Commission of the People’s Republic of China were invited to participate in an electronic survey, which included information on the sedation caseload, facility availability, staff structure, clinical-skill requirements for sedation providers, fasting guidelines, patient-monitoring practices, and choice of sedatives. Results: Fifty-eight of the 63 hospitals that completed the survey (92.1%) provided moderate and deep sedation. Dedicated sedation rooms and post-sedation recovery rooms were found in only 14 (24.1%) and 19 (32.8%) hospitals, respectively. Sedation for non-invasive procedures was primarily performed by anaesthesiologists (69.0%); however, 75.9% of the sedation providers had not received paediatric basic and advanced life-support training. Children were asked to fast from clear liquids for at least 2 h in 44.8% of hospitals and at most 6 h in 5.2% of hospitals; they were asked to fast from solid food/milk for at least 4 h in 27.6% of hospitals and more than 8 h in 1.7% of hospitals. The most commonly used sedative in all groups was chloral hydrate. For rescue, propofol was the most widely used sedative, particularly for children older than 4 years. Conclusion: Moderate and deep sedation practices vary widely in tertiary children’s hospitals and tertiary maternity and children hospitals in China. More optimized practices should be established to improve the quality of moderate and deep sedation.
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Li et al. (2019) conducted a cross-sectional in Paediatric sedation practices (n=63). Moderate and deep sedation practices was evaluated on Current paediatric sedation practices. A survey of 63 tertiary hospitals in China revealed wide variations in paediatric sedation practices, with 92.1% providing sedation but only 24.1% having dedicated sedation rooms and 75.9% of providers lacking life-support training.