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Office-Based Deep Sedation for Pediatric Ophthalmologic Procedures Using a Sedation Service Model

Aims. (1) To assess the efficacy and safety of pediatric office-based sedation for ophthalmologic procedures using a pediatric sedation service model. (2) To assess the reduction in hospital charges of this model of care delivery compared to the operating room (OR) setting for similar procedures. Ba...

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Autores principales: Lalwani, Kirk, Tomlinson, Matthew, Koh, Jeffrey, Wheeler, David
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3312190/
https://www.ncbi.nlm.nih.gov/pubmed/22496684
http://dx.doi.org/10.1155/2012/598593
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author Lalwani, Kirk
Tomlinson, Matthew
Koh, Jeffrey
Wheeler, David
author_facet Lalwani, Kirk
Tomlinson, Matthew
Koh, Jeffrey
Wheeler, David
author_sort Lalwani, Kirk
collection PubMed
description Aims. (1) To assess the efficacy and safety of pediatric office-based sedation for ophthalmologic procedures using a pediatric sedation service model. (2) To assess the reduction in hospital charges of this model of care delivery compared to the operating room (OR) setting for similar procedures. Background. Sedation is used to facilitate pediatric procedures and to immobilize patients for imaging and examination. We believe that the pediatric sedation service model can be used to facilitate office-based deep sedation for brief ophthalmologic procedures and examinations. Methods. After IRB approval, all children who underwent office-based ophthalmologic procedures at our institution between January 1, 2000 and July 31, 2008 were identified using the sedation service database and the electronic health record. A comparison of hospital charges between similar procedures in the operating room was performed. Results. A total of 855 procedures were reviewed. Procedure completion rate was 100% (C.I. 99.62–100). There were no serious complications or unanticipated admissions. Our analysis showed a significant reduction in hospital charges (average of $1287 per patient) as a result of absent OR and recovery unit charges. Conclusions. Pediatric ophthalmologic minor procedures can be performed using a sedation service model with significant reductions in hospital charges.
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spelling pubmed-33121902012-04-11 Office-Based Deep Sedation for Pediatric Ophthalmologic Procedures Using a Sedation Service Model Lalwani, Kirk Tomlinson, Matthew Koh, Jeffrey Wheeler, David Anesthesiol Res Pract Clinical Study Aims. (1) To assess the efficacy and safety of pediatric office-based sedation for ophthalmologic procedures using a pediatric sedation service model. (2) To assess the reduction in hospital charges of this model of care delivery compared to the operating room (OR) setting for similar procedures. Background. Sedation is used to facilitate pediatric procedures and to immobilize patients for imaging and examination. We believe that the pediatric sedation service model can be used to facilitate office-based deep sedation for brief ophthalmologic procedures and examinations. Methods. After IRB approval, all children who underwent office-based ophthalmologic procedures at our institution between January 1, 2000 and July 31, 2008 were identified using the sedation service database and the electronic health record. A comparison of hospital charges between similar procedures in the operating room was performed. Results. A total of 855 procedures were reviewed. Procedure completion rate was 100% (C.I. 99.62–100). There were no serious complications or unanticipated admissions. Our analysis showed a significant reduction in hospital charges (average of $1287 per patient) as a result of absent OR and recovery unit charges. Conclusions. Pediatric ophthalmologic minor procedures can be performed using a sedation service model with significant reductions in hospital charges. Hindawi Publishing Corporation 2012 2012-03-14 /pmc/articles/PMC3312190/ /pubmed/22496684 http://dx.doi.org/10.1155/2012/598593 Text en Copyright © 2012 Kirk Lalwani et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Clinical Study
Lalwani, Kirk
Tomlinson, Matthew
Koh, Jeffrey
Wheeler, David
Office-Based Deep Sedation for Pediatric Ophthalmologic Procedures Using a Sedation Service Model
title Office-Based Deep Sedation for Pediatric Ophthalmologic Procedures Using a Sedation Service Model
title_full Office-Based Deep Sedation for Pediatric Ophthalmologic Procedures Using a Sedation Service Model
title_fullStr Office-Based Deep Sedation for Pediatric Ophthalmologic Procedures Using a Sedation Service Model
title_full_unstemmed Office-Based Deep Sedation for Pediatric Ophthalmologic Procedures Using a Sedation Service Model
title_short Office-Based Deep Sedation for Pediatric Ophthalmologic Procedures Using a Sedation Service Model
title_sort office-based deep sedation for pediatric ophthalmologic procedures using a sedation service model
topic Clinical Study
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3312190/
https://www.ncbi.nlm.nih.gov/pubmed/22496684
http://dx.doi.org/10.1155/2012/598593
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