Standartizing of procedural sedation in pediatric practice
Abstract
The number of diagnostic and therapeutic procedures done outside of the operating room and the intensive care unit has increased substantially in recent years. In parallel, the management of acute pain and anxiety in children undergoing therapeutic and diagnostic procedures has developed considerably in the past two decades. The primary goal of procedural sedation and analgesia is the safe and efficacious control of emotional distress and pain. The availability of non-invasive monitoring, short-acting opioids and sedatives has broadened the possibilities of sedation and analgesia in children in diverse settings. While most of these procedures themselves pose little risk to the child, the administration of sedation or analgesia may add substantial risk to the patient. This new guidelines the current status of sedation and analgesia for invasive and noninvasive procedures in children providing an evidencebased approach to several topics of importance, including patient assessment, personnel requirements, equipment, monitoring, and drugs.
References
1. Aleksandrov A.Ye. Midazolam in pediatric practices / A.Ye. Aleksandrov, A.E. Dobrovolsky, M.S. Riabtsev //Voprosi sovremennoy pediatrii.- 2007;Vol.6: №4: P.102-105.
2. Peroral’naia premedikatsiia dormikumom u detei v odnodnevnom khirurgicheskom statsionare /I.F. Ostreikov et al. //Anesteziologiia i reanimatologiia.-1999; 3: P.12-14.
3. Annequin D. Fixed 50% nitrous oxide mixture for painful procedures: A French survey. /D. Annequin et al. //Pediatrics.-2000;105:e47.
4. Clinical policy: procedural sedation and analgesia in the emergency department. / American College of Emergency Physicians. // Ann. Emerg. Med.-2005;45:177–196.
5. Guidelines for monitoring and management of pediatric patients during and after sedation for diagnostic and therapeutic procedures: addendum. /American Academy of Pediatrics. // Pediatrics.-2000;110:836–838.
6. Guidelines for monitoring and management of pediatric patients during and after sedation for diagnostic and therapeutic procedures. /American Academy of Pediatrics, Committee on Drugs. // Pediatrics.-1992;89:1110–1115.
7. Guidelines for nonoperating room anesthetizing locations. /American Society of Anesthesiologists (1994) //Доступно: http://www.asahq.org/Standards/14.html
Review
For citations:
Chichahov D.A. Standartizing of procedural sedation in pediatric practice. Yakut Medical Journal. 2011;(2):91-95.
Views:
26
Email this article 