Effective and safe pediatric sedation.

Anesthesia and pain medicine Pub Date : 2024-10-01 Epub Date: 2024-07-23 DOI:10.17085/apm.24046
Young-Eun Jang, Jin-Tae Kim
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Abstract

Pediatric sedation is a crucial tool for minimizing pain and anxiety during procedures and examinations in children. However, it is not without risks. This review provides a comprehensive review of pediatric sedation, including both established practices and recent advancements. A thorough pre-procedural evaluation is crucial to mitigate these risks. Skilled healthcare professionals trained in pediatric sedation are paramount to ensure a safe and effective procedure. The choice of sedative medication depends on various factors, such as the type of procedure and the patient's medical condition. Medications, used alone or in combination, offer sedation with varying onset times and durations. Non-pharmacological approaches can complement pharmacological sedation and further reduce potential complications. Preventing sedation-related complications requires a multidisciplinary approach. This includes collaborative decision-making, vigilant monitoring throughout the procedure, and a focus on patient safety. Recovery involves ensuring the child returns to their baseline status before discharge, following established criteria. In conclusion, successful pediatric sedation hinges on a comprehensive strategy. This strategy encompasses a thorough evaluation, skilled personnel, appropriate medication selection, vigilant monitoring, and a focus on patient safety throughout the process. By following these steps, we can minimize risks and achieve successful outcomes.

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有效安全的儿科镇静
小儿镇静剂是将儿童在手术和检查过程中的疼痛和焦虑降至最低的重要工具。然而,它并非没有风险。本综述全面回顾了小儿镇静术,包括既有实践和最新进展。彻底的术前评估对于降低这些风险至关重要。受过小儿镇静培训的专业医护人员是确保手术安全有效的关键。镇静药物的选择取决于各种因素,如手术类型和患者的身体状况。单独使用或联合使用的药物可提供不同起效时间和持续时间的镇静效果。非药物方法可以作为药物镇静的补充,并进一步减少潜在的并发症。预防镇静相关并发症需要采用多学科方法。这包括合作决策、整个过程中的警惕性监控以及对患者安全的关注。恢复包括按照既定标准确保患儿在出院前恢复到基线状态。总之,成功的儿科镇静取决于全面的策略。这一策略包括全面的评估、熟练的人员、适当的药物选择、警惕的监控以及在整个过程中关注患者的安全。通过遵循这些步骤,我们可以最大限度地降低风险并取得成功的结果。
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