الفهرس 
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Abstract
safety and welfare, minimize physical pain and discomfort, control anxiety, minimize psychological trauma, maximize amnesia; control behavior and movement to allow safe performance of procedures .
The ideal drug for sedation should have a rapid onset of action with a predictable dose-effect relationship with respect to its sedative hypnotic actions. Excitatory effects should be minimal, as should its respiratory and cardiovascular depressant effects. Anxiolysis and amnesia should be predictable, with rapid recovery following discontinuation of its administration. Parenterally administered drugs are most popular in adults, whereas in children, enteral routes are more readily accepted.
In order to minimize risk and optimize performance during procedural sedation, the provider must appreciate all aspects of the sedation encounter associated with the patient, the procedure, and the provider of sedation
The practitioner who uses sedation must have immediately available facilities, personnel, and equipment to manage emergency and
rescue situations. The most common serious complications of sedation involve compromise of the airway or depressed respirations resulting in airway obstruction, hypoventilation, laryngospasm, hypoxemia, and apnea. Hypotension and cardiopulmonary arrest may occur, usually from the inadequate recognition and treatment of respiratory compromise.
All patients must be monitored until they are no longer at risk for cardiorespiratory depression. Before discharge, children should be alert and oriented (or have returned to an age-appropriate base line), and their vital signs should be stable and at base-line levels.
The most important guidelines for performing the sedation is the ability to manage all the potential complications, including hemodynamic instability, respiratory depression, and airway compromise.