Challenges in paediatric procedural sedation: political, economic, and clinical aspects

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Challenges in paediatric procedural sedation: political, economic, and clinical aspects.

Paediatric sedation has expanded in volume and demand over the past decade. In parallel with the increasing demand for and delivery of sedation by multi-specialty providers, conflicting political agendas have surfaced. With a limited selection of sedatives and few new sedatives to market over the past decade, some providers utilize agents that formerly were considered exclusive for administrati...

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Efficacy and safety of procedural sedation and analgesia by paediatric intensivist in paediatric oncology unit.

Children with cancer especially acute leukaemia undergo multiple painful procedures like bone marrow biopsy (BM) and lumber puncture (LP) for intrathecal chemotherapy during their first year of treatment. The purpose of this study is to report safety and efficacy of Procedural Sedation and Analgesia (PSA) by paediatric intensivist for oncology procedures in controlled setting in paediatric onco...

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Clinical policy: procedural sedation and analgesia in the emergency department.

This clinical policy from the American College of Emergency Physicians is the revision of a 2005 clinical policy evaluating critical questions related to procedural sedation in the emergency department.1 A writing subcommittee reviewed the literature to derive evidence-based recommendations to help clinicians answer the following critical questions: (1) In patients undergoing procedural sedatio...

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Procedural Sedation and Analgesia

The performance of painful diagnostic and therapeutic procedures is common in emergency care. Many of these are associated with significant anxiety, especially in children. Procedural sedation and analgesia (PSA) has therefore become a fundamental and required skill for emergency physicians and an integral part of the core training of emergency medicine residents. PSA improves the quality of pa...

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Pediatric procedural sedation and analgesia

Children often present with painful conditions that require painful interventions. Procedural sedation and analgesia refers to the pharmacologic technique of managing a child's pain and anxiety. Procedural sedation is a safe, effective, and humane way to facilitate appropriate medical care. It is important to distinguish the goals for the procedural sedation, pain relief or anxiolysis or both. ...

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ژورنال

عنوان ژورنال: British Journal of Anaesthesia

سال: 2014

ISSN: 0007-0912

DOI: 10.1093/bja/aeu387