Conscious sedation: Off-label use of rectal S(+)-ketamine and midazolam for wound dressing changes in paediatric heat injuries

European Journal of Pediatric Surgery : Official Journal of Austrian Association of Pediatric Surgery ... [et Al] = Zeitschrift Für Kinderchirurgie
M HeinrichH Till

Abstract

Wound dressing changes after heat injuries expose the patient to repeated painful and frightening procedures in short intervals. Safe, adequate, and easily administered analgesia and sedation are required. The goal of this study was to evaluate the off-label use of rectally administered S(+)-ketamine and Midazolam by paediatric surgeons during repeated outpatient dressing changes for paediatric burns and scalding. A total of 47 dressing changes of 30 children with I - IIa degrees burns were evaluated. Vital signs, side-effects, complications, anxiolysis, and analgesia were recorded during the procedure and for the following two hours. Patients were assessed by a discharge scoring system and an age-appropriate pain scoring system at regular intervals. Before discharge, parents were interviewed on their level of satisfaction with the protocol. Adequate sedation and analgesia was achieved in 44 procedures (94 %). No complications and, in particular, no compromise of breathing, ventilatory, and cardiovascular functions were recorded. The discharge scoring system indicated a return to baseline function 30 minutes after the procedure in all patients. The parents were generally very satisfied with the protocol. All children old enough...Continue Reading

Citations

Feb 16, 2008·European Radiology·P Reimer, R Vosshenrich
Jul 21, 2011·Journal of Anaesthesiology, Clinical Pharmacology·Murat GündüzGeylan Işik
Aug 12, 2009·Revista brasileira de anestesiologia·Fernando Antônio de Freitas Cantinho, Antonio Carlos Pereira da Silva
Jan 25, 2011·Journal of Intensive Care Medicine·Tomislav TrupkovicStefan Kleinschmidt
Sep 14, 2011·Journal of Burn Care & Research : Official Publication of the American Burn Association·Michele M GottschlichRichard J Kagan

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