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• Part 1. Fundamentals of Sedation
Chapter 1: Pediatric Sedation - How it has evolved?
Chapter 2: The Impact of Procedural Stress
Chapter 3: Sedation as a Continuum
3.1 Minimal, Moderate and Deep Sedation
3.2 Assessing Patient State and Efficacy
Chapter 4: Pediatric Airway and Respiration
4.1 The Pediatric Airway
4.2 Sedation Effects
4.3 Techniques for Managing the Airway
Chapter 5: Cardiovascular System
5.1 Sedation Effects
5.2 Congenital Heart Disease Considerations
Chapter 6: The Pediatric Pre-Sedation Evaluation and Preparation
6.1 Risk Assessment
6.2 Pre-screening
6.3 Pre-sedation Preparation: Equipment and Time Out/Checklists
6.4 Fasting and Aspiration Risk in Procedural Sedation
Chapter 7: Monitoring
7.1 Noninvasive Blood Pressure Monitoring and Electrocardiography
7.2 Pulse Oximetry
7.3 Ventilation
7.4 Observation
Chapter 8: The Recovery Phase of Sedation
8.1 Monitoring
8.2 Discharge Considerations
8.3 Follow-up
Chapter 9: Adverse Events of Sedation
9.1 Definition and Incidence
9.2 Minor Events
9.3 Moderate Events
9.4 Major Events
9.5 Risks
9.6 Methods of Rescue and Response
• Part 2. Procedural Sedation
Chapter 10: Procedural Considerations
10.1 Procedural Aspects affecting Sedation Care: Invasiveness and Duration
10.2 Procedural Aspects affecting Sedation Care: Skill Set and Location
10.3 Urgent Sedation (unscheduled procedural sedation) in the Emergency Department
Chapter 11: Special Patient Considerations
11.1 The Obese Child
11.2 The Autistic Child
11.3 The Child with Cerebral Palsy
11.4 The Premature Infant
Chapter 12: Diagnostic and Therapeutic Procedures
12.1 Radiology - MRI and CT imaging Considerations
12.2 Radiation Therapy
12.3 VCUG
12.4 Endoscopy
12.5 Biopsy
12.6 Pulmonary
12.7 Cardiology
12.8 Oncology
12.9 Intravenous Access
12.10 Orthopedic
12.11 Neurology
12.12 Cutaneous
12.13 Botox Injections
Chapter 13: Sedation in the Pediatric Dental Practice
Chapter 14: International Approaches to Pediatric Sedation
14.1 The NICE Guideline: UK Experience
Chapter 15: Non-IV Sedation
15.1 Nitrous Oxide
15.2 Intranasal Medications
15.3 Oral Medications
15.4 Topical and Local Anesthetics
• Part 3. Beyond Sedation
Chapter 16: Multiprofessional Team
16.1 Physician Training and Perspective
16.2 Nursing
16.3 Child Life Specialists
Chapter 17: Guidelines, Regulatory Issues and Reimbursement
17.1 Society Guidelines
17.2 Regulatory Issues
17.3 Hospital and Professional Reimbursement
17.4 The Credentialing and Re-credentialing Process
Chapter 18: Administrative Organization
18.1 A Sedation Unit Approach
18.2 A Sedation Team Approach
Chapter 19: Quality Improvement in Pediatric Sedation

The Pediatric Procedural Sedation Handbook provides a comprehensive but concise review of the essential information needed to allow for the safe practice of pediatric procedural sedation. Written by a group of multidisciplinary authors, this text explores the fundamentals of sedation, procedural sedation, special patient considerations, diagnostic and therapeutic procedures, and more. Each chapter offers a starting point and suggestions for further in-depth study of all aspects of providing safe, effective, multidisciplinary-team based sedation care for children undergoing testing and procedures outside of an operating room setting. Appendices providing medication dosing and delivery route suggestions complement the text and can be used for quick reference. This book is a must-read for any clinician involved in modern, team-based patient-centered care, including physicians, nurses, dentists, and child life specialists.

Editors and authors are members of the Society of Pediatric Sedation, a multidisciplinary society dedicated to the advance of pediatric sedation by promoting safe, high quality care, innovative research, and quality professional education.
• Provides a starting point for more in-depth study of all aspects of providing safe, effective, multi-disciplinary team-based sedation care for children
• Presents the current thinking and practice in the field of pediatric procedural sedation
• Includes medication dosing and delivery route suggestions to complement study and for quick reference

• Cheryl K. Gooden, MD, FAAP, FASA, Associate Professor of Anesthesiology and Pediatrics, Pediatric Anesthesia Division, Yale University School of Medicine, Yale-New Haven Hospital, New Haven, CT
• Lia H. Lowrie, MD, FAAP, Director, Division of Pediatric Critical Care Medicine, Director, Procedural Sedation, St. Louis University School of Medicine at SSM Health Cardinal Glennon Children's Hospital, St. Louis, MO
• Benjamin F. Jackson, MD, FAAP, FACEP, Associate Professor of Pediatrics, Pediatric Emergency Medicine, PEM Director of Procedural Sedation, Medical University of South Carolina, SC