Course director: Heather Fagan, MD

Nursing Director: Jamie Harrison, RN

Sedation Universal Pager: 188-7338 (sed-8)

On the first day of your rotation, please come in by 7:30 am and go the the radiology area in front of the CT scanner.  You will meet the PICU attending MD there and the sedation nursing staff who will orient you to the service. 

PEDIATRIC SEDATION SERVICE

Senior Pediatric Residents may spend 2 weeks or 4 weeks on the Pediatric Sedation Service as a selective rotation during their pediatrics residency.  The Pediatric Sedation Service is responsible for the expert sedation of pediatric outpatients and inpatients during invasive procedures (i.e. PICC line placement, bone marrow aspirations, and lumbar punctures) and radiological examinations (i.e. MRI and CT scans). The Pediatric Sedation Service operates Monday through Friday from 7:00am to 5:00pm.  Except for conferences and continuity clinic, the resident is expected to be on site during all sedated procedures.  There are no in-house call responsibilities,and no weekend duties. You are expected to go to your weekly continuity clininc during this rotation.

Residents are required to have a current Pediatric Advanced Life Support (PALS) certification, and be familiar with the basics of pediatric resuscitation. 

Residents are required to function as an integral part of the sedation team.  They are expected to have sufficient knowledge of the patients and their underlying medical conditions as they are pertinent to a safe and successful sedation.  This will be accomplished by a thorough history and physical examination prior to any medication administration.  Second, residents will be taught to obtain an appropriate informed consent for sedation from the parents or legal guardians of the children.  Further, residents are required to develop an understanding of the primary sedative agents used by the Sedation Service, both from a pharmacologic and physiologic perspective. 

Residents are required to complete a pre and post test at the beginning and end of the rotation, respectively.  These questions and answers will be discussed with the Sedation Service attending physician of record.  The pretest is to be used an independent guide for study during the selective rotation.  In addition, a short educational didactic presentation (15 minutes) given to the sedation staff on the final Friday on the rotation will be required.  The topic to be covered will be at the discretion of the resident.

Residents are required to maintain their own continuity clinic during this selective rotation.  In addition, they are to attend all morning reports and noon conferences during the rotation block. 

So without further adieu, please, have a wonderful time......

Reading Requirements:

1. Peds in Review: "Conscious Sedation"

2. Procedural Sedation and analgesia for children

3. Procedural sedation review

4. Guidelines for Monitoring and Management of Pediatric Patients During and After Sedation

5. Preprocedural Fasting: another opinion

6. Effect of JCAHO guidelines on sedation practice

7. Incidence of Adverse Events during Pediatric Sedation

8. Adverse Cardiac Events during Radiology Sedation

9. Dexmedetomidine for CT

10. Dexmedetomidine for MRI

11. A review of dexmedetomidine for procedural sedation in children

©2005 Joshua D Robinson, MD, Madelyn Kahana, MD & The University of Chicago®