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Safe and Sound: Optimizing Pediatric Procedural Sedation in Emergency Departments — From High-resource Standards to Low-resource Adaptations
Journal article   Open access   Peer reviewed

Safe and Sound: Optimizing Pediatric Procedural Sedation in Emergency Departments — From High-resource Standards to Low-resource Adaptations

Amira A. Aboali, Radwa A. Aboali, Temitomi Jane Oyedele, Raseel Sleem, Muhammad Azan Shahid, Janu Chhetri, Muhammed Ghazi Alfarra and Mohammed Alsabri
Current Treatment Options in Pediatrics, v 12, 11
14 Mar 2026
Featured in Collection :   Drexel's Newest Publications
url
https://doi.org/10.1007/s40746-026-00369-5View
Published, Version of Record (VoR)Open Access via Drexel Libraries Read and Publish Program 2026CC BY V4.0 Open

Abstract

Anesthesiology Dentistry Pediatrics
Pediatric procedural sedation (PPS) is a common and essential component of emergency department practice, enabling painful, prolonged, or anxiety-producing procedures to be performed in children who are otherwise uncooperative. Over the past two decades, PPS has evolved from a primarily analgesic intervention to a structured process guided by safety protocols, standardized monitoring, and pharmacologic strategies. However, sedation practices vary considerably across regions, particularly between high-resource and resource-limited settings. This review aims to examine current evidence on PPS in the emergency department, with a focus on global practice patterns, safety, pharmacologic management, and monitoring requirements across different resource environments.

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