Procedural pediatric sedation by nurses: available, competent, and safe.

International Journal of Pediatrics
Laetiscia LavoieSylvie Lafrenaye

Abstract

Sedation and/or analgesia are standard of care for pediatric patients during painful intervention or medical imaging requiring immobility. Physician availability is frequently insufficient to allow for all procedural sedation. A nurse-led sedation program was created at the Centre Hospitalier Universitaire de Sherbrooke (CHUS) to address this problem. Objective. To evaluate the effectiveness and the safety of our program. Methods. A retrospective study of all the procedural sedations done over one year was performed. Complications were separated in four categories: (1) major complications (call for help; unexpected admission, aspiration, and code); (2) reportable sedation events (oxygen saturation <90%, bradycardia (more than 2 SD below normal for the age of the child), and hypotension (more than 2 SD below normal for the age of the child); (3) difficult sedation (agitation, inadequate sedation, and failure to perform the procedure), (4) minor complications. Results. 448 patients, 249 boys and 199 girls; received sedation for 555 procedures. Overall, 78% (432) of interventions were successfully accomplished: 0% of major complications, 8% of reportable sedation events; 5% of difficult sedation; 9% of minor complications. Conclus...Continue Reading

References

Mar 24, 2000·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·D S BeebeK G Belani
Mar 30, 2000·The New England Journal of Medicine·B Krauss, S M Green
Sep 23, 2009·Pediatrics·UNKNOWN American Academy of PediatricsUNKNOWN Emergency Nurses Association Pediatric Committee
Oct 27, 2009·Journal of Perianesthesia Nursing : Official Journal of the American Society of PeriAnesthesia Nurses·Jenifer R LightdaleJames A DiNardo
Apr 15, 2011·Uirusu·Masayuki Horie, Keizo Tomonaga

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Citations

May 25, 2013·Current Opinion in Anaesthesiology·Owen J Arthurs, Michael Sury
Jul 21, 2017·Journal of Obstetric, Gynecologic, and Neonatal Nursing : JOGNN·Monica R McLemore, E Angel Aztlan

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Methods Mentioned

BETA
sedation
sedations
biopsy

Software Mentioned

CHUS

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