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Anesthesiology Research and Practice
Volume 2012 (2012), Article ID 598593, 4 pages
http://dx.doi.org/10.1155/2012/598593
Clinical Study

Office-Based Deep Sedation for Pediatric Ophthalmologic Procedures Using a Sedation Service Model

1Department of Anesthesiology and Peri-operative Medicine and Department of Ophthalmology, Oregon Health & Science University, 3181 SW Sam Jackson Park Road, Portland, OR 97239, USA
2Doernbecher Children’s Hospital and Casey Eye Institute, Oregon Health & Science University, 3181 SW Sam Jackson Park Road, Portland, OR 97239, USA
3Legacy Health, University of Utah, Salt Lake City, UT 84112, USA

Received 9 November 2011; Revised 4 January 2012; Accepted 10 January 2012

Academic Editor: Mohamed Naguib

Copyright © 2012 Kirk Lalwani et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Aims. (1) To assess the efficacy and safety of pediatric office-based sedation for ophthalmologic procedures using a pediatric sedation service model. (2) To assess the reduction in hospital charges of this model of care delivery compared to the operating room (OR) setting for similar procedures. Background. Sedation is used to facilitate pediatric procedures and to immobilize patients for imaging and examination. We believe that the pediatric sedation service model can be used to facilitate office-based deep sedation for brief ophthalmologic procedures and examinations. Methods. After IRB approval, all children who underwent office-based ophthalmologic procedures at our institution between January 1, 2000 and July 31, 2008 were identified using the sedation service database and the electronic health record. A comparison of hospital charges between similar procedures in the operating room was performed. Results. A total of 855 procedures were reviewed. Procedure completion rate was 100% (C.I. 99.62–100). There were no serious complications or unanticipated admissions. Our analysis showed a significant reduction in hospital charges (average of $1287 per patient) as a result of absent OR and recovery unit charges. Conclusions. Pediatric ophthalmologic minor procedures can be performed using a sedation service model with significant reductions in hospital charges.