Kuga S, et al. - Given that 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 not clear, researchers sought to examine the status of PPS in Japan and clarify the adverse events and risk factors. This investigation was a single‐facility, database survey conducted at Oita University Hospital from September 2016 to March 2019. PPS was performed for 1,436 consecutive cases during the study period. Thiamylal alone or thiamylal combined with ketamine were the majority (94%) of the sedatives used. In 16.2% of all PPS cases, adverse effects occurred. To evaluate the serious adverse events and risk factors for PPS in Japan, further studies are required.