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International Journal of Pediatrics
Volume 2010, Article ID 701257, 15 pages
Review Article

Pediatric Sedation: A Global Challenge

1The Sedation Service, Department of Anesthesiology and Critical Care Medicine, Hadassah University Hospital, Jerusalem 91120, Israel
2Department of Anesthesia, Children's Hospital Boston, 300 Longwood Avenue, Boston, MA 02115, USA

Received 16 June 2010; Revised 6 August 2010; Accepted 16 August 2010

Academic Editor: Savithiri Ratnapalan

Copyright © 2010 David Gozal and Keira P. Mason. 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.


Pediatric sedation is a challenge which spans all continents and has grown to encompass specialties outside of anesthesia, radiology and emergency medicine. All sedatives are not universally available and local and national regulations often limit the sedation practice to specific agents and those with specific credentials. Some specialties have established certification and credentials for sedation delivery whereas most have not. Some of the relevant sedation guidelines and recommendations of specialty organizations worldwide will be explored. The challenge facing sedation care providers moving forward in the 21st century will be to determine how to apply the local, regional and national guidelines to the individual sedation practices. A greater challenge, perhaps impossible, will be to determine whether the sedation community can come together worldwide to develop standards, guidelines and recommendations for safe sedation practice.