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Children commonly require sedation and analgesia for procedures in the emergency department.
Establishing accurate adverse event and complications rates from the available literature
has been difficult because of the difficulty in aggregating results from previous
studies that have used varied terminology to describe the same adverse events and
outcomes. Further, serious adverse events occur infrequently, necessitating the study
of large numbers of children to assess safety. These limitations prevent the establishment
of a sufficiently large database on which evidence-based practice guidelines may be
based. We assembled a panel of pediatric sedation researchers and experts to develop
consensus-based recommendations for standardizing procedural sedation and analgesia
terminology and reporting of adverse events. Our goal was to create a uniform reporting
mechanism for future studies to facilitate the aggregation and comparison of results.