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Sedation and analgesia for procedures in the pediatric emergency room

Carlos Eduardo Ramalho1, Pedro Messeder Caldeira Bretas1, Claudio Schvartsman2

  • 1Universidade de São Paulo (USP), Faculdade de Medicina, Hospital das Clínicas, Instituto da Criança, São Paulo, SP, Brazil; Universidade de São Paulo (USP), Faculdade de Medicina, Departamento de Pediatria, São Paulo, SP, Brazil.

Jornal De Pediatria
|September 26, 2017
PubMed

Insights

This review summarizes current literature on pediatric sedation and analgesia in emergency settings. It provides guidance on drug selection, patient care, and discharge criteria for safe and effective emergency care.

Area of Science:

  • Pediatric Emergency Medicine
  • Pharmacology
  • Clinical Practice Guidelines

Background:

  • Pediatric patients frequently require sedation and analgesia for emergency procedures.
  • Evolving therapeutic options and drug knowledge necessitate updated literature reviews.

Purpose of the Study:

  • To review current literature on sedation and analgesia for children and adolescents in emergency situations.
  • To provide guidance on drug selection, patient management, and safety.

Main Methods:

  • Non-systematic literature review of PubMed database up to December 2016.
  • Inclusion of original articles, reviews, systematic reviews, meta-analyses, textbook references, and regulatory publications.

Main Results:

  • Key concepts of sedation and analgesia are presented.
  • Guidance on pre-, intra-, and post-procedure patient care is outlined.
  • Indications for drug selection based on procedure and safety profiles are discussed.

Conclusions:

  • Sedoanalgesia protocols are crucial for pediatric emergency room procedures.
  • Protocols should guide medication choice, material selection, and discharge criteria.
  • Adherence to protocols ensures quality of care for pediatric patients.
Abstract

Keywords:
AnalgesiaChildConscious sedationCriançaDeep sedationEmergency medicineEmergency serviceMedicamento de emergênciaSedação conscienteSedação profundaServiço de emergência

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