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Background Pediatric procedural sedation (PPS) has been established worldwide as standard practice for several decades. However, there are no comprehensive guidelines or multi-facility databases of PPS in Japan, and the current status of PPS and PPS-related adverse events is unclear. The objectives of this study were to investigated the current status of PPS and clarify the adverse events and risk factors in Japan. Methods This study was a single-facility, database survey performed at Oita University Hospital from September 2016 to Marc