For patients undergoing deep sedation, it is recommended that an independent skilled observer be present.

The American Academy of Pediatrics (AAP) has updated its guidance on sedation for dental procedures in children in a clinical report written in conjunction with the American Academy of Pediatric Dentistry.

The report, “Guidelines for Monitoring and Management of Pediatric Patients Before, During and After Sedation for Diagnostic and Therapeutic Procedures,”, will be published in the June 2019 issue of Pediatrics (May 28 online).

The guidelines recommend that at least two people with specific training and credentials should be present with a pediatric patient undergoing deep sedation or general anesthesia for dental treatment in a dental facility or hospital. The report also clarifies that the sedation should be administered by a qualified anesthesia provider. The 2019 guidelines define a role of a qualified anesthesia provider, who may include a medical anesthesiologist, certified registered nurse anesthetist, dentist anesthesiologist or second oral surgeon.

“Sedation for dental procedures in children and teenagers is generally safe,” said Charles J. Coté, lead author of the clinical report, who is a pediatrician and a pediatric anesthesiologist. “However, we are aware of adverse outcomes when a single dental provider simultaneously performs the procedure and administers deep sedation or general anesthesia for dental procedures. These guidelines ensure the safety of patients who undergo these procedures.”

Under the 2019 guidelines, one of the two trained people required for sedation must be an independent observer who is not involved with performing or assisting with the dental procedure. The observer’s sole responsibility is to constantly observe the patient’s vital signs and to be skilled to assist with any medical emergency. Both the independent observer and the operating dentist must be certified in Pediatric Advanced Life Support.

The prior guidelines had called for the presence of at least one trained person with the Pediatric Advanced Life Support certification.

The American Academy of Pediatrics is an organization of 67,000 primary care pediatricians, pediatric medical subspecialists and pediatric surgical specialists dedicated to the health, safety and well-being of infants, children, adolescents and young adults. For more information, visit www.aap.org and follow us on Twitter @AmerAcadPeds