This article describes the most current and effective means for provid
ing sedation and analgesia for the pediatric patient. Three basic leve
ls for sedation can be defined: conscious sedation, deep sedation and
general anesthesia. Treatment of pain is also established according to
an analgesic ladder providing safe and effective sedation and analges
ia to children requires appropriate selection of drugs and dosage, pro
per monitoring, knowledge of potential side effects, and adequate airw
ay management equipment and personnel. Agents available for sedation a
nd analgesia of children and therapeutic options according to differen
t clinical situations are described.