The development of a Consensus Conference on Pediatric Procedural Sedation in the Emergency Department in Italy: from here where to?

Idanna Sforzi; Silvia Bressan; Claudia Saffirio; Salvatore De Masi; Leonardo Bussolin; Liviana Da Dalt; Fabio De Iaco; Itai Shavit; Baruch Krauss; Egidio Barbi; Ilaria Bergese; Klaus Peter Biermann; Fabio Borrometi; Lorenzo Calligaris; Barbara Cantoni; Silvia Fontanazza; Diego Fornasari; Chiara Ghizzi; Mirco Gregorini; Mario Guarino; Manuela L'erario; Giovanna La Fauci; Alberto Lai; Simone Lazzeri; Maria Carmela Leo; Ersilia Lucenteforte; Ada Macchiarini; Stefano Maiandi; Massimo Mandò; Alessandro Mazza; Giovanni Montobbio; Alessandro Mugelli; Roberta Parrino; Marina Sammartino; Jürgen Schleef; Angelica Spotti; Caterina Tomasello; Monica Toraldo Di Francia; Chiara Trapani; Marcella Turini; Laura Vagnoli; Simona Vergna; Gianni Virgili; Giovanni Vitali Rosati; Davide Zanon

doi:10.1186/s13052-020-0812-x

The development of a Consensus Conference on Pediatric Procedural Sedation in the Emergency Department in Italy: from here where to?

Idanna Sforzi^*, Silvia Bressan, Claudia Saffirio, Salvatore De Masi, Leonardo Bussolin, Liviana Da Dalt, Fabio De Iaco, Itai Shavit, Baruch Krauss, Egidio Barbi, Ilaria Bergese, Klaus Peter Biermann, Fabio Borrometi, Lorenzo Calligaris, Barbara Cantoni, Silvia Fontanazza, Diego Fornasari, Chiara Ghizzi, Mirco Gregorini, Mario GuarinoManuela L'erario, Giovanna La Fauci, Alberto Lai, Simone Lazzeri, Maria Carmela Leo, Ersilia Lucenteforte, Ada Macchiarini, Stefano Maiandi, Massimo Mandò, Alessandro Mazza, Giovanni Montobbio, Alessandro Mugelli, Roberta Parrino, Marina Sammartino, Jürgen Schleef, Angelica Spotti, Caterina Tomasello, Monica Toraldo Di Francia, Chiara Trapani, Marcella Turini, Laura Vagnoli, Simona Vergna, Gianni Virgili, Giovanni Vitali Rosati, Davide Zanon

^*Corresponding author for this work

Research output: Contribution to journal › Article › peer-review

8 Citations (Scopus)

40 Downloads (Pure)

Abstract

Background: In Italy, as in many European countries, Pediatric Emergency Medicine is not formally recognized as a pediatric subspecialty, hindering nation-wide adoption of standards of care, especially in the field of procedural sedation and analgesia (PSA) in the Emergency Department (ED). For this reason PSA in Italy is mostly neglected or performed very heterogeneously and by different providers, with no reference standard. We aimed to describe the procedures and results of the first multidisciplinary and multi-professional Consensus Conference in Italy on safe and effective pediatric PSA in Italian EDs. Methods: The preparation, organization and conduct of the Consensus Conference, held in Florence in 2017, followed the recommended National methodological standards. Professionals from different specialties across the country were invited to participate. Results: Overall 86 recommendations covering 8 themes (pre-sedation evaluation, pharmacologic agents, monitoring, equipment and discharge checklists, training, non-pharmacologic techniques, the adult ED setting, impact on hospitalizations) were developed, taking into account the Italian training system and healthcare organization characteristics. Conclusion: The results of the first multidisciplinary and multi-professional Consensus Conference in Italy are meant to provide up-to-date national guidance to improve the standard of care of children undergoing painful and stressful procedures in the ED. The recommendations will be periodically updated as new relevant evidence is published.

Original language	English
Article number	57
Number of pages	10
Journal	Italian Journal of Pediatrics
Volume	46
DOIs	https://doi.org/10.1186/s13052-020-0812-x
Publication status	Published - 01 May 2020
Externally published	Yes

Bibliographical note

Publisher Copyright:
© 2020 The Author(s).

Copyright:
Copyright 2020 Elsevier B.V., All rights reserved.

Keywords

Consensus
Emergency department
Pediatric
Procedural sedation and analgesia

ASJC Scopus subject areas

Pediatrics, Perinatology, and Child Health

Access to Document

10.1186/s13052-020-0812-xLicence: CC BY

The development of a Consensus Conference on Pediatric Procedural Sedation in the Emergency Department in Italy: from here where to?
Copyright 2020 the authors. This is an open access article published under a Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium, provided the author and source are cited.
Final published version, 959 KBLicence: CC BY

Cite this

Sforzi, I., Bressan, S., Saffirio, C., De Masi, S., Bussolin, L., Da Dalt, L., De Iaco, F., Shavit, I., Krauss, B., Barbi, E., Bergese, I., Biermann, K. P., Borrometi, F., Calligaris, L., Cantoni, B., Fontanazza, S., Fornasari, D., Ghizzi, C., Gregorini, M., ... Zanon, D. (2020). The development of a Consensus Conference on Pediatric Procedural Sedation in the Emergency Department in Italy: from here where to? Italian Journal of Pediatrics, 46, Article 57. https://doi.org/10.1186/s13052-020-0812-x

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title = "The development of a Consensus Conference on Pediatric Procedural Sedation in the Emergency Department in Italy: from here where to?",

abstract = "Background: In Italy, as in many European countries, Pediatric Emergency Medicine is not formally recognized as a pediatric subspecialty, hindering nation-wide adoption of standards of care, especially in the field of procedural sedation and analgesia (PSA) in the Emergency Department (ED). For this reason PSA in Italy is mostly neglected or performed very heterogeneously and by different providers, with no reference standard. We aimed to describe the procedures and results of the first multidisciplinary and multi-professional Consensus Conference in Italy on safe and effective pediatric PSA in Italian EDs. Methods: The preparation, organization and conduct of the Consensus Conference, held in Florence in 2017, followed the recommended National methodological standards. Professionals from different specialties across the country were invited to participate. Results: Overall 86 recommendations covering 8 themes (pre-sedation evaluation, pharmacologic agents, monitoring, equipment and discharge checklists, training, non-pharmacologic techniques, the adult ED setting, impact on hospitalizations) were developed, taking into account the Italian training system and healthcare organization characteristics. Conclusion: The results of the first multidisciplinary and multi-professional Consensus Conference in Italy are meant to provide up-to-date national guidance to improve the standard of care of children undergoing painful and stressful procedures in the ED. The recommendations will be periodically updated as new relevant evidence is published.",

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author = "Idanna Sforzi and Silvia Bressan and Claudia Saffirio and {De Masi}, Salvatore and Leonardo Bussolin and {Da Dalt}, Liviana and {De Iaco}, Fabio and Itai Shavit and Baruch Krauss and Egidio Barbi and Ilaria Bergese and Biermann, {Klaus Peter} and Fabio Borrometi and Lorenzo Calligaris and Barbara Cantoni and Silvia Fontanazza and Diego Fornasari and Chiara Ghizzi and Mirco Gregorini and Mario Guarino and Manuela L'erario and {La Fauci}, Giovanna and Alberto Lai and Simone Lazzeri and Leo, {Maria Carmela} and Ersilia Lucenteforte and Ada Macchiarini and Stefano Maiandi and Massimo Mand{\`o} and Alessandro Mazza and Giovanni Montobbio and Alessandro Mugelli and Roberta Parrino and Marina Sammartino and J{\"u}rgen Schleef and Angelica Spotti and Caterina Tomasello and {Di Francia}, {Monica Toraldo} and Chiara Trapani and Marcella Turini and Laura Vagnoli and Simona Vergna and Gianni Virgili and Rosati, {Giovanni Vitali} and Davide Zanon",

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Sforzi, I, Bressan, S, Saffirio, C, De Masi, S, Bussolin, L, Da Dalt, L, De Iaco, F, Shavit, I, Krauss, B, Barbi, E, Bergese, I, Biermann, KP, Borrometi, F, Calligaris, L, Cantoni, B, Fontanazza, S, Fornasari, D, Ghizzi, C, Gregorini, M, Guarino, M, L'erario, M, La Fauci, G, Lai, A, Lazzeri, S, Leo, MC, Lucenteforte, E, Macchiarini, A, Maiandi, S, Mandò, M, Mazza, A, Montobbio, G, Mugelli, A, Parrino, R, Sammartino, M, Schleef, J, Spotti, A, Tomasello, C, Di Francia, MT, Trapani, C, Turini, M, Vagnoli, L, Vergna, S, Virgili, G, Rosati, GV & Zanon, D 2020, 'The development of a Consensus Conference on Pediatric Procedural Sedation in the Emergency Department in Italy: from here where to?', Italian Journal of Pediatrics, vol. 46, 57. https://doi.org/10.1186/s13052-020-0812-x