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Anesthesia and Sedation in the Pediatric and Congenital Cardiac Catheterization Laboratory

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www.SCAI.org/Guidelines Postprocedure 1. Adverse events 2. Equipment issues 3. Specimens labeled and sent 4. Detailed sign-out to floor, intermediate-care unit, intensive-care unit, or pediatric acute care unit (PACU) 5. Necessary postprocedure tests, including echocardiogram, X-ray, or electrocardiogram (EKG) 6. Necessary postoperative medications, including but not limited to antiarrhythmics, vaso-pressors, iNO, and anticoagulation, antiemetics and intravenous fluid therapy 7. Indwelling catheters and lines 8. Last dose of sedation and neuromuscular blockade 9. What could have gone better during the procedure Anesthesia Provider Table 2. Recommended Anesthesia Provider Expertise Based on CRISP Score Minimum Level of Anesthesia Provider Expertise CRISP Score a Sedation Team b Anesthesiologist with Special Expertise in CHD Pediatric Cardiac Anesthesiologist c 0–1 × 2–4 × ≥5 × a http://www.pmidcalc.org/?sid=26527119&newtest=Y b Sedation provided by non-anesthesiologists with training and certification in sedation practices c Pediatric anesthesiologist with either advanced training or extensive experience in congenital cardiac anesthesia

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