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Investigators developed a simple scale to evaluate quality — as opposed to depth — of sedation experienced by pediatric patients undergoing any type of sedation (pharmacologic or nonpharmacologic) for diagnostic or therapeutic procedures. Quality was assessed by the overall condition of the patient, including any experience of pain, anxiety, change in level of consciousness, and adverse events. The 6-point Pediatric Sedation State Scale (PSSS) was developed and informed by American Academy of Pediatrics and American Society of Anesthesiologists defined sedation states and nine procedural sedation experts. The six activity states are as follows:
State 5: Movement impedes procedure and requires forceful immobilization
State 4: Movement requires…