title: SCAI/CCAS/SPA Expert Consensus Statement for Anesthesia and Sedation Practice: Recommendations for Patients Undergoing Diagnostic and Therapeutic Procedures in the Pediatric and Congenital Cardiac Catheterization Laboratory.
abstract: Current practice of sedation and anesthesia for patients undergoing pediatric and congenital cardiac catheterization laboratory (PCCCL) procedures is known to vary among institutions, a multi-society expert panel with representatives from the Congenital Heart Disease Council of the Society for Cardiovascular Angiography and Interventions, the Society for Pediatric Anesthesia and the Congenital Cardiac Anesthesia Society was convened to evaluate the types of sedation and personnel necessary for procedures performed in the PCCCL. The goal of this panel was to provide practitioners and institutions performing these procedures with guidance consistent with national standards and to provide clinicians and institutions with consensus-based recommendations and the supporting references to encourage their application in quality improvement programs. Recommendations can neither encompass all clinical circumstances nor replace the judgment of individual clinicians in the management of each patient. The science of medicine is rooted in evidence, and the art of medicine is based on the application of this evidence to the individual patient. This expert consensus statement has adhered to these principles for optimal management of patients requiring sedation and anesthesia. What follows are recommendations for patient monitoring in the PCCCL regardless of whether minimal or no sedation is being used or general anesthesia is being provided by an anesthesiologist.
authors.affiliation: From the *Department of Anesthesiology, Perioperative and Pain Medicine, Boston Children's Hospital, Boston, MA; †Emory University School of Medicine, Children's Healthcare of Atlanta, Atlanta, GA; ‡Department of Anesthesiology, Baylor College of Medicine, Houston, TX; §Department of Anesthesiology, Vanderbilt University Medical Center, Nashville, TN; ‖Department of Pediatrics, University of Utah, Salt Lake City, UT; ¶Department of Pediatrics, University of Illinois and Advocate Children's Hospital, Oak Lawn, IL; #Department of Pediatrics, Mount Sinai Medical Center, New York, NY; **Department of Pediatrics, University of California, San Francisco, San Francisco, CA; ††Department of Pediatrics, Arnold Palmer Hospital for Children, Orlando, FL; ‡‡Department of Anesthesiology, Department of Anesthesiology, University of Michigan, Ann Arbor, MI; and §§Department of Anesthesiology, Riley Hospital for Children, Indianapolis, IN.
authors.forename: Kirsten C
authors.initials: KC
authors.lastname: Odegard
authors.forename: Robert
authors.initials: R
authors.lastname: Vincent
authors.forename: Rahul G
authors.initials: RG
authors.lastname: Baijal
authors.forename: Suanne M
authors.initials: SM
authors.lastname: Daves
authors.forename: Robert G
authors.initials: RG
authors.lastname: Gray
authors.forename: Alexander J
authors.initials: AJ
authors.lastname: Javois
authors.forename: Barry A
authors.initials: BA
authors.lastname: Love
authors.forename: Philip
authors.initials: P
authors.lastname: Moore
authors.forename: David
authors.initials: D
authors.lastname: Nykanen
authors.forename: Lori Q
authors.initials: LQ
authors.lastname: Riegger
authors.forename: Scott G
authors.initials: SG
authors.lastname: Walker
authors.forename: Elizabeth C
authors.initials: EC
authors.lastname: Wilson
mesh_terms: D000768:Anesthesia, General / Q000379:methods / Q000592:standards*; D000776:Anesthesiology / Q000379:methods / Q000592:standards; D006328:Cardiac Catheterization / Q000592:standards*; D002648:Child; D016292:Procedural Sedation / Q000379:methods / Q000592:standards*; D032921:Consensus; D006330:Heart Defects, Congenital / Q000175:diagnosis / Q000628:therapy*; D006801:Humans; D017410:Practice Guidelines as Topic / Q000592:standards*; D012955:Societies, Medical / Q000592:standards*