title: Procedural sedation and analgesia in children undergoing digestive endoscopic procedures - paediatrician or anaesthesiologist?
abstract: Endoscopic procedures of the gastrointestinal tract were successfully introduced into paediatric practice in the 1970s. Recent expansive development has become useful for improvement of both diagnosis and treatment in many children with gastrointestinal diseases. Most of these procedures are performed under procedural sedation (PSA) knowing anatomical, physiological and psychological differences and requiring good experience from the paediatrician and anaesthesiologist. These principles help to provide the procedure safely and minimise adverse events, which are greater the smaller the child is. Procedural sedation and analgesia in healthy children can be performed by a paediatrician, but children with congenital defects and serious coexisting diseases (ASA ≥ III) and also during the usage of anaesthetics (e.g. propofol), should be managed by an anaesthesiologist.
authors: Department of Paediatric Anaesthesiology and Intensive Therapy, Poznan University of Medical Sciences, Poznan, Poland.
authors: Alicja
authors: A
authors: Bartkowska-Śniatkowska
authors: Department of Paediatric Anaesthesiology and Intensive Therapy, Poznan University of Medical Sciences, Poznan, Poland.
authors: Jowita
authors: J
authors: Rosada-Kurasińska
authors: Department of Paediatric Gastroenterology and Metabolic Diseases, Poznan University of Medical Sciences, Poznan, Poland.
authors: Iwona
authors: I
authors: Ignyś
authors: Department of Teaching Anaesthesiology and Intensive Therapy, Poznan University of Medical Sciences, Poznan, Poland.
authors: Małgorzata
authors: M
authors: Grześkowiak
authors: Department of Anaesthesiology and Intensive Care, Paediatric Intensive Care Unit, Wroclaw Medical University, Poland.
authors: Marzena
authors: M
authors: Zielińska
authors: Department of Clinical Pharmacy and Biopharmacy, Poznan University of Medical Sciences, Poznan, Poland.
authors: Agnieszka
authors: A
authors: Bienert
keywords: anaesthesiologist; children; conscious sedation; endoscopic procedures; paediatrician