Comparison of chloral hydrate and pentobarbital sedation for pediatric echocardiography

Echocardiography
Madhusudan GanigaraRajesh Shenoy

Abstract

In 2013, outpatient use of chloral hydrate (CH) was limited and other alternatives such as oral pentobarbital (PB) were explored to achieve conscious sedation in young children for transthoracic echocardiography (TTE). We aimed to assess efficacy and safety of the two medications. Clinical information, from a computerized database, about children who received sedation with either CH or PB for TTE at our center (2008-2015) was reviewed, and the two groups were compared for sedation effectiveness and complications. Three thousand eight hundred fifty one pediatric patients (median age 8 months) underwent conscious sedation during TTE (mean doses CH 50 mg/kg, PB 4 mg/kg). Demographic characteristics of the two groups were similar. Sedation failure rate (CH 2.4%, PB 2.9%, P = NS), need for supplemental doses (CH 17.9%, PB 16.2%, P = NS), and overall adverse event rate (PB 1.4%, CH 1.9%; P = NS) were similar in the two groups. There were fewer episodes of respiratory depression with PB (0.3% vs 1.6%, P < 0.05). The rate of paradoxical reactions was higher with PB (1% vs 0.03%, P < 0.05). Increasing age predicted the need for supplemental doses and for sedation failure in both groups. Neonates (7.5% vs 0%) and infants (2% vs 0.6%) giv...Continue Reading

References

Nov 1, 1990·Journal of the American Society of Echocardiography : Official Publication of the American Society of Echocardiography·J G StevensonK Zamberlin
Aug 1, 1996·The Journal of Pediatrics·K L NapoliG R Martin
Nov 2, 2004·Radiology·Keira P MasonPatricia E Burrows
Nov 3, 2009·Journal of the American Society of Echocardiography : Official Publication of the American Society of Echocardiography·Charles N WardenThomas R Kimball
Feb 4, 2010·Journal of the American Society of Echocardiography : Official Publication of the American Society of Echocardiography·Susan C NicolsonDavid R Jobes
Jun 16, 2014·Journal of the American Society of Echocardiography : Official Publication of the American Society of Echocardiography·Kenan W D SternOscar J Benavidez
Jul 15, 2015·Paediatric Drugs·John W Berkenbosch
Jan 20, 2016·Journal of the American Society of Echocardiography : Official Publication of the American Society of Echocardiography·Garick D HillPeter C Frommelt

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Citations

Aug 17, 2019·Frontiers in Neuroscience·Yujiao ZhangChengbiao Lu

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