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

Idanna Sforzi, Silvia Bressan, Claudia Saffirio, Salvatore De Masi, Leonardo Bussolin, Liviana Da Dalt, Fabio De Iaco, Itai Shavit, Baruch Krauss, Egidio Barbi, Ilaria Bergese, Klaus Peter Biermann, Fabio Borrometi, Lorenzo Calligaris, Barbara Cantoni, Silvia Fontanazza, Diego Fornasari, Chiara Ghizzi, Mirco Gregorini, Mario GuarinoManuela L'erario, Giovanna La Fauci, Alberto Lai, Simone Lazzeri, Maria Carmela Leo, Ersilia Lucenteforte, Ada Macchiarini, Stefano Maiandi, Massimo Mandò, Alessandro Mazza, Giovanni Montobbio, Alessandro Mugelli, Roberta Parrino, Marina Sammartino, Jürgen Schleef, Angelica Spotti, Caterina Tomasello, Monica Toraldo Di Francia, Chiara Trapani, Marcella Turini, Laura Vagnoli, Simona Vergna, Gianni Virgili, Giovanni Vitali Rosati, Davide Zanon

Research output: Contribution to journalArticlepeer-review

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.

Original languageEnglish
Article number57
JournalItalian Journal of Pediatrics
Volume46
Issue number1
DOIs
Publication statusPublished - May 1 2020

Keywords

  • Consensus
  • Emergency department
  • Pediatric
  • Procedural sedation and analgesia

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Fingerprint Dive into the research topics of 'The development of a Consensus Conference on Pediatric Procedural Sedation in the Emergency Department in Italy: From here where to?'. Together they form a unique fingerprint.

Cite this