Procedural Sedation & Analgesia

vital signs

Download the PowerPoint Presentation of this module

Learning Module References

Additional Resources

Supplemental Presentations, Videos and More

Presentation: Management Update on Pain, Agitation, and Sedation in the Emergency Care of Children by Dr. Phyllis Hendry, June 2015

Managing Procedural Anxiety in Pediatrics Video and Article

Krauss BS, Krauss BA, Green SA. Managing Procedural Anxiety in Pediatrics. N Engl J Med 2016; 37:e19. DOI: 10.1056/NEJMvcm1411127. When children need medical care, the situation can be stressful for both the parent and the child. Pain, fear, and unfamiliar surroundings can lead to a high level of anxiety, which may make accurate assessment and treatment challenging….

Patient Education Handout


The pediatric and adult PSA patient education resource is formatted at an eighth grade reading level to meet The Joint Commission health literacy recommendations. Feel free to adapt for your practice or institution. Please email us your comments or ways this resource has improved patient care or safety to

Performing safe and effective procedural sedation in children requires the same foundational elements as other age groups – skilled personnel, an equipped setting and a structure to manage patients across the sedation continuum. However, children have unique developmental and physiologic vulnerabilities that require special consideration when planning and performing sedation.

Risk Factors for Adverse Events in Emergency Department Procedural Sedation for Children

Procedural sedation for children undergoing painful procedures is standard practice in emergency departments worldwide. Previous studies of emergency department sedation are limited by their single-center design and are underpowered to identify risk factors for serious adverse events (SAEs), thereby limiting their influence on sedation practice and patient outcomes.

ASA Classification System

ASA classification table

American College of Emergency Physicians (ACEP) Clinical Policy

Resuscitation Equipment


Broselow Paediatric Emergengy Tape
ABC Resuscitation Chart



Apps & Podcast

Intranasal Medication and You

Intranasal medications, if understood and employed properly, are a great choice to avoid an IV or as a bridge until IV access is obtained. Learn the strengths and limits of intranasal fentanyl, midazolam, ketamine, and dexmedetomidine.

Procedural Sedation Courses
The UNC School of Medicine training modules were adapted with permission from Dartmouth-Hitchcock Medical Center. They are part of the entire course which also includes lab simulations, PALS certification, and TeamSTEPPS training.

The Pediatric Procedural Sedation module will focus on the care of children (newborns through adolescence) undergoing moderate sedation. Release Date: January 2, 2014; End Date: December 31, 2016. Cost: $35

The Society for Pediatric Sedation® has partnered with the Virginia Nurses Association to provide online CE for nurses. Online educational modules for CE credit are available only to SPS members. If you would like to view the content and receive credit, and you are not a member of the SPS, please click here to become a member.