ABSTRACT
Some centers have chosen to write their own guidelines rather than adopt those of the AAP.3 Some of these new protocols may set out lenient guidelines with regard to fasting, monitoring, and appropriate personnel. The confusing term conscious sedation may create some of the misunderstanding. A patient who sustains a painful stimulus will purposefully withdraw and indeed utter some displeasure. A comatose patient maybe able to withdraw from painful stimulation. Unskilled and unqualified personnel unaware of the planes of sedation and anesthesia may well be monitoring anesthetized patients. Any center constructing guidelines should include the following warning:
Those physicians utilizing these drugs alone or in combination should be familiar with these agents and aware of their potential respiratory complications.
