biostudies-literatureO'Byrne MLNCATS NIH HHSNHLBI NIH HHSNational Heart, Lung, and Blood InstituteNIGMS NIH HHS401-413https://www.ebi.ac.uk/biostudies/studies/S-EPMC7932684biostudies-literatureUnknown14(4)<h4>Objectives</h4>The objective of this study was to assess contemporary use of operator directed sedation (ODS) and anesthesiologist care (AC) in the pediatric/congenital cardiac catheterization laboratory (PCCL), specifically evaluating whether the use of operator-directed sedation was associated with increased risk of major adverse events.<h4>Background</h4>The safety of ODS relative to AC during PCCL procedures has been questioned.<h4>Methods</h4>A multicenter, retrospective cohort study was performed studying procedures habitually performed with ODS or AC at IMPACT (Improving Adult and Congenital Treatment) registry hospitals using ODS for ≥5% of cases. The risks for major adverse events (MAE) for ODS and AC cases were compared, adjusted for case mix. Current recommendations were evaJACC. Cardiovascular interventionsOutcomes of Operator-Directed Sedation and Anesthesiologist Care in the Pediatric/Congenital Catheterization Laboratory: A Study Utilizing Data From the IMPACT Registry.PMC7932684K23 HL130420U01 TR001803T32 GM086330Dori YSteven JMChamberlain RCGillespie MJGlatz ACHill KDRome JJMillenson MEO'Byrne MLSmith CLKennedy KFfalseOutcomes of Operator-Directed Sedation and Anesthesiologist Care in the Pediatric/Congenital Catheterization Laboratory: A Study Utilizing Data From the IMPACT Registry.<h4>Objectives</h4>The objective of this study was to assess contemporary use of operator directed sedation (ODS) and anesthesiologist care (AC) in the pediatric/congenital cardiac catheterization laboratory (PCCL), specifically evaluating whether the use of operator-directed sedation was associated with increased risk of major adverse events.<h4>Background</h4>The safety of ODS relative to AC during PCCL procedures has been questioned.<h4>Methods</h4>A multicenter, retrospective cohort study was performed studying procedures habitually performed with ODS or AC at IMPACT (Improving Adult and Congenital Treatment) registry hospitals using ODS for ≥5% of cases. The risks for major adverse events (MAE) for ODS and AC cases were compared, adjusted for case mix. Current recommendations were eva2021-01-01T00:00:00Z2021 Feb2025-04-04T10:16:37.316Z2025-04-04T10:16:37.316ZS-EPMC79326843360243710.1016/j.jcin.2020.10.054