Adherence to safety guidelines on paediatric procedural sedation: the results of a nationwide survey under general paediatricians in The Netherlands.

Objectives: Following two fatal accidents during paediatric procedural sedation (PS), the authors investigated the level of adherence to established safety standards on PS in a nationwide cohort of fully trained general paediatricians, entrusted with PS.

Study Design And Methods: Sample survey Safety guidelines on PS were split into four domains ("Presedation Assessment", "Monitoring during PS", "Recovery after PS" and "Facilities and Competences for Emergencies and Rescue"). Each domain was operationalised into sub-domains and items.

[Implantable ECG recorder revealed the diagnosis in a baby with apparent life-threatening events].

A 14-month-old boy went through episodes of cyanosis and brief loss of consciousness. Extensive investigations failed to lead to a diagnosis, until an implanted ECG recorder revealed ECG abnormalities suggestive of strangulation. Interviews with the father and mother showed that this was indeed the case.