Expanding procedural sedation to satellite facilities: Current structures, provider models, and future directions

As healthcare delivery becomes increasingly decentralized, the demand for procedural sedation beyond the operating room continues to grow. This review examines how sedation services are adapting to meet the demand across various procedural settings. We compare models led by anesthesiologists with those managed by non-anesthesia providers and outline practical considerations for expanding services to satellite facilities. Central themes include patient safety, governance and oversight, staffing models, technology integration, and provider education. We stress the importance of standardizing practices, promoting interprofessional collaboration, and utilizing telemonitoring to ensure consistent, high-quality care across diverse clinical settings.