Pediatric anesthesia & critical care

Benefit of an Interdisciplinary Pediatric Sedation Team With a Clinical Pharmacist on Outpatient Appointment Duration and Procedural Sedation Time

Paediatr AnaesthPublished Retrospective before-after study

Authors' conclusion

An interdisciplinary sedation team focused on pre-appointment planning for complex pediatric behavioral patients requiring a procedure in the outpatient setting was associated with reduced appointment and sedation times, a clinically and statistically significant finding, respectively.

Study context

Population
Pediatric patients with complex behavioral disorders requiring a procedure at an outpatient visit
Participants
35 patients
Exposure
Post-implementation vs Pre-implementation
  • Post-implementationn = 18
  • Pre-implementationn = 17reference
Outcome
Duration of outpatient appointment and procedural sedation times
Methodological detailspre- and post-implementation, descriptive
  • Pre- and post-implementation
  • Descriptive

Main finding

As reported in the abstract

GroupValueSedation time, median (IQR) min
Post-implementationmedian 133 (IQR 98–178) min40 (30-54)
Pre-implementationmedian 173 (IQR 153–190) min75 (45-100)

Value

Post-implementationmedian 133 (IQR 98–178) min
Pre-implementationmedian 173 (IQR 153–190) min

Sedation time, median (IQR) min

Post-implementation40 (30-54)
Pre-implementation75 (45-100)
  • Post-implementation vs Pre-implementation: P = 0.08
  • Post-implementation vs Pre-implementation: P = 0.02

Observational data: associations, not effects.

Further findings

Procedure success

No difference in procedure success

Pharmacist interventions (post-implementation)

Pharmacist interventions (drug-drug interactions, premedication selection, dose recommendations)
15 in six patients

Original publication

Benefit of an Interdisciplinary Pediatric Sedation Team With a Clinical Pharmacist on Outpatient Appointment Duration and Procedural Sedation Time. Paediatr Anaesth. Published 21 October 2025. doi:10.1111/pan.70069

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