J Pediatr Intensive Care 2018; 07(03): 129-134
DOI: 10.1055/s-0038-1624570
Original Article
Georg Thieme Verlag KG Stuttgart · New York

Successful Development and Implementation of Pediatric Sedation-Analgesia Curriculum for Residents

Sandeep Tripathi
1  Division of Cardiac Critical Care, Lurie Children's Hospital, Chicago, Illinois, United States
3  Pediatric Sedation and Analgesia Team, Children's Hospital of Illinois, Peoria, Illinois, United States
,
Venkedesh Raju
2  Pediatric Hospitalist, Mercy Hospital, Iowa City, Iowa, United States
,
Kimberly A. Horack
3  Pediatric Sedation and Analgesia Team, Children's Hospital of Illinois, Peoria, Illinois, United States
,
Donna L. Bronson
3  Pediatric Sedation and Analgesia Team, Children's Hospital of Illinois, Peoria, Illinois, United States
,
Girish G. Deshpande
3  Pediatric Sedation and Analgesia Team, Children's Hospital of Illinois, Peoria, Illinois, United States
› Author Affiliations
Further Information

Publication History

12 September 2017

19 December 2017

Publication Date:
28 January 2018 (eFirst)

Abstract

Pediatric residency graduates are increasingly asked to provide procedural sedations. Currently, most programs provide minimal exposure to residents outside of PICU for procedural sedations. We describe the pediatric sedation and analgesia (PSA) evolution and resident experience over the past 6 years at our institution (fiscal year 2010–2015). Administrative database of the PSA team and resident evaluations obtained by respective residency programs were analyzed and presented with standard descriptive analysis. Commutative or where appropriate year-by-year data were analyzed. Over the past 6 years, 100 residents performed 1,742 sedations with 17 ± 6.4 sedations per resident. Lumbar puncture and MRI were the most frequent procedures for sedations performed by residents. There was no statistical difference in complication rates in sedations performed by residents (28.6 ± 16.6) versus those by attending only (36.2 ± 31.2). Overall, residents were satisfied with the educational experience with an average score of 6.1 ± 0.17 out of maximum 7. Resident involvement in PSA is well liked by residents and does not lead to an increase in sedation-related complications.