Current Practice and Tolerance for Risk in Performing Procedural Sedation and Analgesia on Children Who Have Not Met Fasting Guidelines: A Canadian Survey Using a Stated Preference Discrete Choice Experiment

Objectives: The objectives were to explore the tolerance of pediatric emergency medicine (PEM) physicians for risk in choosing when to perform procedural sedation and analgesia (PSA) and to describe adherence to preprocedural fasting guidelines and factors affecting the physicians’ decisions. Methods: A survey of Canadian PEM physicians who perform PSA was conducted. Respondents were asked about their PSA practices. Risk tolerance was assessed using an economics‐based stated preference elicitation method called a discrete choice experiment (DCE). Using a hypothetical clinical situation of a healthy child needing PSA, three fasting scenarios (ingestion of full meal