Publications by authors named "M G Roback"
Article Synopsis
- Procedural sedation lacks standardized competencies and training programs across various practitioners and settings, leading to inconsistency in practices.
- The International Committee for the Advancement of Procedural Sedation aimed to establish a consensus on the essential competencies required for practitioners, utilizing a framework focused on Competency-Based Medical Education.
- Through literature review and iterative consensus-building, the committee identified core competencies related to knowledge, skills, and attitudes, and proposed a structured framework for training and credentialing in procedural sedation.
Objectives: Relatively little is known about outcomes of procedural sedation in very young children. Our objective was to examine the association between procedural sedation in young children (≤ 2 years) and the incidence of sedation-related adverse events.
Methods: This is a secondary analysis of a prospective cohort study of children 0 to 18 years undergoing parenteral procedural sedation in six Canadian pediatric emergency departments (ED).
As currently written, national regulatory guidance on procedural sedation has elements that are contradictory, confusing, and out of date. As a result, hospital procedural sedation policies are often widely inconsistent between institutions despite similar settings and resources, putting emergency department (ED) patients at risk by denying them uniform access to safe, effective, and appropriate procedural sedation care. Many hospitals have chosen to take overly conservative stances with respect to regulatory compliance to minimize their perceived risk.
View Article and Find Full Text PDF