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. 2020 May 1;46(1):57.
doi: 10.1186/s13052-020-0812-x.

The development of a Consensus Conference on Pediatric Procedural Sedation in the Emergency Department in Italy: from here where to?

Idanna Sforzi  1 , Silvia Bressan  2 , Claudia Saffirio  3 , Salvatore De Masi  4 , Leonardo Bussolin  3 , Liviana Da Dalt  2 , Fabio De Iaco  5 , Itai Shavit  6 , Baruch Krauss  7 , Egidio Barbi  8   9 ; Procedural Sedation Analgesia Consensus working group
Collaborators, Affiliations

The development of a Consensus Conference on Pediatric Procedural Sedation in the Emergency Department in Italy: from here where to?

Idanna Sforzi et al. Ital J Pediatr. .

Abstract

Background: In Italy, as in many European countries, Pediatric Emergency Medicine is not formally recognized as a pediatric subspecialty, hindering nation-wide adoption of standards of care, especially in the field of procedural sedation and analgesia (PSA) in the Emergency Department (ED). For this reason PSA in Italy is mostly neglected or performed very heterogeneously and by different providers, with no reference standard. We aimed to describe the procedures and results of the first multidisciplinary and multi-professional Consensus Conference in Italy on safe and effective pediatric PSA in Italian EDs.

Methods: The preparation, organization and conduct of the Consensus Conference, held in Florence in 2017, followed the recommended National methodological standards. Professionals from different specialties across the country were invited to participate.

Results: Overall 86 recommendations covering 8 themes (pre-sedation evaluation, pharmacologic agents, monitoring, equipment and discharge checklists, training, non-pharmacologic techniques, the adult ED setting, impact on hospitalizations) were developed, taking into account the Italian training system and healthcare organization characteristics.

Conclusion: The results of the first multidisciplinary and multi-professional Consensus Conference in Italy are meant to provide up-to-date national guidance to improve the standard of care of children undergoing painful and stressful procedures in the ED. The recommendations will be periodically updated as new relevant evidence is published.

Keywords: Consensus; Emergency department; Pediatric; Procedural sedation and analgesia.

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Conflict of interest statement

The authors declare that they have no competing/conflict of interests to disclose. There were no industries involved in the development, organization or conduct on the Consensus Conference.

Figures

Fig. 1
Fig. 1
Flow chart of selection of relevant literature for a medications included in the NICE guidelines b for the additional medication dexmedetomidine
See this image and copyright information in PMC

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