Читать книгу Practical Pediatric Gastrointestinal Endoscopy - Группа авторов - Страница 32

Sedation or general anesthesia is a prerequisite for safe and effective endoscopic procedures in the majority of pediatric patients. General anesthesia is always performed by an anesthesiologist. Ideally, deep sedation should be performed by an anesthesiologist too, but this depends on national or institutional organization and resources. Even in environments where sedation by nonanesthesiologists is the usual approach, this activity must be organized according to the highest safety standards with a skilled anesthesiologist team available for specific procedures, high‐risk patients or possible complications.

The goals of procedural sedation are to (i) guard the patient’s safety and welfare; (ii) minimize physical discomfort and pain; (iii) control anxiety and minimize psychological trauma (in the child and parents); (iv) control behavior and/or movement to allow the safe completion of the procedure; and (v) return the patient to a state in which safe discharge from medical supervision is possible.