How are children monitored during procedural sedation?

Updated: May 08, 2018
  • Author: Wan-Tsu Wendy Chang, MD; Chief Editor: Ted Rosenkrantz, MD  more...
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Monitoring during procedural sedation usually should include the following:

  • Maintain continuous oxygen saturation and heart rate monitoring

  • Record vital signs and blood pressure every 15 minutes for conscious sedation and every 5 minutes for deep sedation

  • Record drug dose and time administered

  • Record state of consciousness and response to stimulation

  • Consider end-tidal CO2 monitoring

  • Consider capnography and bispectral index monitoring as noninvasive alternative or adjunctive methods of monitoring patients in the operating room (OR); capnography measures end-tidal CO2 concentration during ventilation, identifies hypoventilation and apnea at an earlier stage; bispectral index monitoring measures the depth of sedation from electroencephalographic (EEG) signals

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