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 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 (SCAI), the Society for Pediatric Anesthesia (SPA) and the Congenital Cardiac Anesthesia Society (CCAS) 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. © 2016 Wiley Periodicals Inc.
authors: Boston Children's Hospital, Boston, MA.
authors: Kirsten C
authors: KC
authors: Odegard
authors: Emory University School of Medicine, Children's Healthcare of Atlanta, Atlanta, GA.
authors: Robert
authors: R
authors: Vincent
authors: Baylor College of Medicine, Houston, TX.
authors: Rahul
authors: R
authors: Baijal
authors: Vanderbilt University Medical Center, Nashville, TN.
authors: SuAnne
authors: S
authors: Daves
authors: University of Utah, Salt Lake City, UT.
authors: Robert
authors: R
authors: Gray
authors: University of Illinois and Advocate Children's Hospital, Chicago, IL.
authors: Alex
authors: A
authors: Javois
authors: Mount Sinai Medical Center, New York, NY.
authors: Barry
authors: B
authors: Love
authors: University of California, San Francisco, CA.
authors: Phil
authors: P
authors: Moore
authors: Arnold Palmer Hospital for Children, Orlando, FL.
authors: David
authors: D
authors: Nykanen
authors: University of Michigan, Department of Anesthesiology, Ann Arbor, MI.
authors: Lori
authors: L
authors: Riegger
authors: Riley Hospital for Children, Indianapolis, IN.
authors: Scott G
authors: SG
authors: Walker
authors: Emory University School of Medicine, Children's Healthcare of Atlanta, Atlanta, GA.
authors: Elizabeth C
authors: EC
authors: Wilson
mesh_terms: D000768:Anesthesia, General / Q000592:standards*; D000792:Angiography; D006328:Cardiac Catheterization; D002648:Child; D016292:Procedural Sedation / Q000592:standards*; D032921:Consensus; D006330:Heart Defects, Congenital / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D017410:Practice Guidelines as Topic
keywords: Congenital Heart Disease; Sedation