non-parenteral medications for procedural sedation in children- a narrative review article
نویسندگان
چکیده
how to cite this article: fallah r, ferdosian f, shajari a. non-parenteral medications for procedural sedation in children- a narrative review article. iran j child neurol. summer 2015;9(3):1-8. abstract procedural sedation may be needed in many diagnostic and therapeutic procedures in children. to make pediatric procedural sedation as safe as possible, protocols should be developed by institutions. response to sedation in children is highly variable, while some become deeply sedated after minimal doses, others may need much higher doses. child developmental status, clinical circumstances and condition of patient should be considered and then pharmacologic and non-pharmacologic interventions for sedation be selected. drug of choice and administration route depend on the condition of the child, type of procedure, and predicted pain degree. the drugs might be administered parenteral (intravenous or intramuscular) or non- parenteral including oral, rectal, sublingual, aerosolized buccal and intranasal. the use of intravenous medication such propofol, ketamine, dexmedetomidine, or etomidate may be restricted in use by pediatric anesthesiologist or pediatric critical care specialists or pediatric emergency medicine specialists. in this review article we discuss on non-parenteral medications that can be used by non- anesthesiologist.
منابع مشابه
Non-Parenteral Medications for Procedural Sedation in Children- A Narrative: Review Article
Procedural sedation may be needed in many diagnostic and therapeutic procedures in children. To make pediatric procedural sedation as safe as possible, protocols should be developed by institutions. Response to sedation in children is highly variable, while some become deeply sedated after minimal doses, others may need much higher doses. Child developmental status, clinical circumstances and c...
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The use of propofol for paediatric procedural sedation (PPS) is increasing because of its favourable pharmacodynamic profile. Its paediatric use has been limited in some ED (emergency departments) because of the perceived high rate of serious adverse events in comparison with other sedation agents. A systematic literature review of propofol use for PPS outside the operating theatre environment ...
متن کاملProcedural sedation and analgesia in children
10.2217/14750708.5.4.425 © 2 Providing relief from pain and anxiety associated with diagnostic and therapeutic procedures has become an ethical imperative in children, as well as a measured quality of care from the family perspective. This, along with a tremendous increase in the number of procedures performed in children outside the operating room, has placed an increasing demand for procedura...
متن کاملProcedural sedation and analgesia in children.
Procedural sedation and analgesia for children--the use of sedative, analgesic, or dissociative drugs to relieve anxiety and pain associated with diagnostic and therapeutic procedures--is now widely practised by a diverse group of specialists outside the operating theatre. We review the principles underlying safe and effective procedural sedation and analgesia and the spectrum of procedures for...
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عنوان ژورنال:
iranian journal of child neurologyجلد ۹، شماره ۳، صفحات ۱-۸
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