Sedoanalgesia in the Debridement of Pediatric Burns in the Emergency Department: Is It Effective and Safe?

Background: The routine use of sedoanalgesia has increased the number potential minor surgical procedures that can be performed in Emergency Department (ED) without requiring general anesthesia and, thus, hospital admission. Our aim is to analyze effectiveness and safety childhood burns treated ED. Methods: A retrospective study was conducted burned children whom burn debridement under ED between 2017 2021 a tertiary referral center for burns. We collected demographic variables, features type each case, including its associated adverse effects. Results: total 227 patients (118 males, 109 females) were included, with median age 25 months. In total, 99.2% thermal (69.2% scald burns), mean body surface area (TBSA) 4%. most commonly used drugs intravenous ketamine (35.7%), + midazolam (15.4%), intranasal fentanyl (14.1%) (10.6%). considered satisfactory 95.2% cases, an effect rate 7.5%, severe effects reported. Conclusions: early treatment achieves high safety. It postulated as quality indicator; it should known by all pediatric healthcare practitioners.