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Delphi consensus on paediatric procedural sedation
Paediatric Procedural Sedation and Analgesia in Emergency Departments: A Delphi Consensus Study
Emergency Medicine Australasia · Added 15 September 2026
Two-round Delphi consensus of 28 paediatric emergency clinicians from 23 Spanish centres — strong agreement on monitoring standards, staffing and safety requirements for paediatric procedural sedation, with ketamine the preferred agent for painful procedures.
- Study type
- Guideline / statement
- Design
- Modified two-round Delphi consensus study
- Participants
- 28 paediatric emergency clinicians from 23 Spanish centres
- Main finding
- Strong consensus (≥70% agreement) on minimum safety requirements, monitoring standards, staffing competencies and organisational priorities; ketamine preferred for painful procedures, with variation in drug choice for less invasive or imaging procedures.
- Caveat
- Spanish expert panel only; consensus reflects opinion, not outcome evidence.
- Bottom line
- Context only
Why it matters in Australia (Medium relevance). transferability — ketamine is in the ACTAS formulary and the safety principles carry over, but this is ED procedural sedation, not prehospital protocol
Learning goal
Strengthen my judgement on safe monitoring and agent selection during paediatric procedural sedation in prehospital care.
More
- Topic: Paediatrics
- Daily scan: 15 September 2026
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