03: Procedural Sedation in High Risk Patients Outside of the Operating Room

Society for Pediatric Sedation (SPS) Podcast

In this episode, we will be welcoming Dr. Mary Landrigan-Ossar, a Senior Associate in Perioperative Anesthesia, Department of Anesthesiology, Critical Care and Pain Medicine at Boston Children’s Hospital. Dr. Landrigan is also an Assistant Professor of Anesthesia at Harvard Medical School. She has been involved with the Society for Pediatric Sedation for a long time and serves on the executive committee as well as the board of directors.

Dr. Landrigan comes on to help us gather insight on how sedation practitioners should approach procedural sedation in high risk patients outside of the operating room where they focus on pre-screening prior to procedural sedation. Join us to learn more

Show Highlights

• Why it’s so important to assess a child’s risk profile prior to procedural sedation (01:29)
• Patient risk factors associated with sedation related adverse events (03:02)
• Concerns regarding the sedation of infants where the infants are under 3 months of age (04:50)
• How prematurity poses a risk for sedation related adverse events (06:24)
• The relation between obesity and increased risk for adverse events in procedural sedation (07:58)
• Risks posed to procedural sedation by children that have upper respiratory tract infections (09:11)
• Scenario where a child snores like an adult while sleeping or has noisy breathing during sleep (11:07)
• Dealing with children who have heart disease when they are presented for procedural sedation (13:34)
• Different instances where sedation practitioners should be very cautious and consult an anesthesiologist (17:53)
• Clinical pearls in sedating high risk patients and the necessary careful pre-screening required for such patients (20:08)

Resources:

Society of Pediatric Sedation Website