Louis Children's Hospital, which consists of 50 pediatric hospitalists who provide procedural sedation
at multiple settings in the hospital including the emergency department, ambulatory procedure center, and pediatric acute wound service.
We also feel that the anaesthetists providing procedural sedation
for our patients aim for similar depths of sedation/ anaesthesia as other Australian anaesthetists.
The commonly used regional and local blocks are usually stand-alone techniques or combined with procedural sedation
or general anaesthesia.
"We've certainly developed protocols and research studies into what's safe and what's effective, and in training our residents and our fellows in procedural sedation
Etomidate has been used for procedural sedation
because of its stable haemodynamic responses and short time of recovery.
Safe and efficacious use of procedural sedation
and analgesia by non-anesthesiologists in a pediatric hematology-oncology unit.
and analgesia (PSA) is a developing process in the paediatric population, which should allow to maintain sufficient ventilation with preserved protective reflexes in patients.
Previous studies suggested that there is an increased risk for elderly patients undergoing procedural sedation
compared with younger patients.
IV pentobarbital, rectal methohexital and thiopental are the barbiturates that have been studied for procedural sedation
. Thiopental can produce effective sedation within 1 min, and has a rapid clinical recovery (about 15 min) when administered intravenously.6 With its adequate sedation, faster recovery, and lower rate of bradycardia and desaturation, IV thiopental is suggested to be reconsidered for sedation in radio-diagnostic procedures.7 Although using rectal thiopental for sedation of children in MRI is common, in literature there is very little knowledge about its IV use.
The team reviewed and revised existing policies and procedures, developed a burn care supply cart, and established procedures for burn wound management and guidelines for the use of procedural sedation
for dressing changes.
Burbulys, "Procedural sedation
and analgesia," in Rosen's Emergency Medicine Concepts and Clinical Practice, J.
Is propofol the perfect hypnotic agent for procedural sedation