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CNS Depressants: Barbiturates and Benzodiazepines01:14

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CNS depressants include drugs from the category of barbiturates and benzodiazepines. They are valuable medications for managing anxiety disorders and insomnia. Barbiturates, once used to induce and maintain sleep, have been replaced mainly by benzodiazepines due to barbiturate's toxicity, tolerance, and overdose risks. They interact with GABAA receptors, leading to sedation at low doses and potentially coma and death at higher doses. Phenobarbital, a long-acting barbiturate, possesses...
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Integration of Certified Child Life Specialists to Decrease in Periprocedural Benzodiazepine Use: A Pilot Study.

Anne Faulk1, Julia Power1, Hector Mejia2

  • 1Louisiana State University Health Sciences Center School of Medicine, New Orleans, Louisiana.

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|April 16, 2024
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Summary

Certified Child Life Specialists (CCLSs) effectively reduce periprocedural anxiety in pediatric patients, significantly decreasing benzodiazepine use during medical procedures. This integration enhances patient comfort and safety, minimizing the need for sedatives.

Keywords:
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Area of Science:

  • Pediatric Anesthesiology
  • Child Psychology
  • Healthcare Management

Background:

  • Periprocedural anxiety is prevalent in pediatric patients, exacerbated by events like anesthesia induction and IV placement.
  • Factors such as parental anxiety and child sociability can influence pediatric anxiety levels.
  • Certified Child Life Specialists (CCLSs) offer a non-pharmacological approach to mitigate patient and parental anxiety.

Purpose of the Study:

  • To evaluate the impact of integrating Certified Child Life Specialists (CCLSs) into the perioperative setting.
  • To assess the effect of CCLS intervention on benzodiazepine utilization in pediatric patients.
  • To determine the safety and efficacy of CCLS support in reducing periprocedural anxiety.

Main Methods:

  • A prospective database analysis identified pediatric patients undergoing outpatient surgical and radiologic procedures between July 2022 and September 2023.
  • Certified Child Life Specialists (CCLSs) provided age-appropriate support to children to minimize benzodiazepine use.
  • Data on benzodiazepine administration and adverse events were collected and analyzed.

Main Results:

  • A total of 2175 pediatric patients received support from CCLSs.
  • Midazolam use decreased by an average of 11.4% in the same-day surgery group.
  • The radiologic group experienced a significant 73% reduction in benzodiazepine use, with no reported adverse events.

Conclusions:

  • The integration of CCLSs in the periprocedural setting is a valuable strategy for managing pediatric anxiety.
  • CCLS support effectively reduces the reliance on benzodiazepines for anxiety management in children.
  • Utilizing CCLSs enhances patient safety by minimizing potential side effects associated with sedative medications.