Actions to Avoid in Pain Management and Sedoanalgesia Procedures in Pediatric Emergencies

Area of Science:

• Pediatric Emergency Medicine
• Pain Management
• Pediatric Sedation

Background:

• Effective pain management and sedoanalgesia are critical in pediatric emergency care.
• The Spanish Society of Pediatric Emergencies' Working Group on Analgesia and Sedation (GTAS-SEUP) identified a need for standardized
• do not do
• recommendations.

Purpose of the Study:

• To outline the development process and consensus findings for a
• do not do
• list regarding pain management and sedoanalgesia in pediatric patients.
• To establish evidence-based guidelines for avoiding suboptimal practices in pediatric emergency care.

Main Methods:

• A three-phase process involving brainstorming, modified Delphi methodology for recommendation selection, and final document consensus.
• Inclusion of all members of the GTAS-SEUP in the initial brainstorming phase.
• Iterative rounds of selection and refinement to achieve consensus.

Main Results:

• An initial 57 recommendations were refined to 39, then further reduced to a final list of 12 key " 12 actions to avoid " (6 for pain management, 6 for sedoanalgesia).
• Six pain management recommendations were accepted (3 in round 1, 3 in round 2).
• Six sedoanalgesia recommendations were accepted (4 in round 1, 2 in round 2).

Conclusions:

• The developed list of " 12 actions to avoid " is a consensus tool from the GTAS-SEUP for pediatric pain management and sedoanalgesia.
• Implementing these recommendations aims to enhance the quality of care by preventing unnecessary or potentially harmful interventions in pediatric patients.