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Prioridades de investigación para la sedación de procedimientos pediátricos en medicina de urgencias
Daniel S Tsze1, Rebecca K Burger2, Eileen J Klein3
1Department of Emergency Medicine, Division of Pediatric Emergency Medicine, Columbia University College of Physicians and Surgeons, New York, New York, USA dst2141@cumc.columbia.edu.
Emergency medicine journal : EMJ
|January 16, 2026
Resumen
Los expertos identificaron 10 preguntas clave de investigación para mejorar la sedación de procedimientos en niños en atención de urgencias. Esta agenda guiará estudios futuros y optimizará las prácticas de sedación para pacientes pediátricos.
Área de la Ciencia:
- Medicina de Urgencias Pediátricas
- Anestesiología
- Educación Médica
Sus antecedentes:
- La sedación de procedimientos es común en la atención pediátrica de urgencias.
- Las prácticas óptimas de sedación para niños que se someten a procedimientos dolorosos requieren más investigación.
- Se necesita una agenda de investigación para guiar futuras investigaciones y mejorar la sedación de procedimientos pediátricos.
Objetivo del estudio:
- Desarrollar una agenda de investigación priorizada para la sedación de procedimientos pediátricos en el entorno de atención de urgencias.
- Identificar preguntas clave de investigación que optimizarán la atención de los niños que reciben sedación.
- Guiar futuras investigaciones, decisiones de financiación y políticas en sedación pediátrica.
Principales métodos:
- Se utilizó un enfoque Delphi modificado para lograr el consenso de los expertos.
- Participó un grupo asesor de expertos multidisciplinario y geográficamente diverso.
- Rondas iterativas de cuestionarios refinaron una lista inicial de 42 preguntas de investigación para identificar áreas de alta prioridad.
Principales resultados:
- 54 expertos participaron en el enfoque Delphi modificado.
- Se identificaron 10 preguntas de investigación de alta prioridad en dos rondas.
- Las áreas clave incluyen resultados de sedación, atención centrada en el paciente, regímenes efectivos, enfoques novedosos, disparidades en la atención médica y competencia del médico.
Conclusiones:
- Las 10 preguntas de investigación priorizadas proporcionan una hoja de ruta para avanzar en la sedación de procedimientos pediátricos.
- Esta agenda informará a investigadores, financiadores y responsables de políticas.
- Se anticipan avances significativos en la atención de urgencias para niños que reciben sedación.
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