SEDATION IN CHILDREN UNDERGOING THERAPEUTIC AND DIAGNOSIS PROCEDURES. SAFETY OR RISK?
Abstract:
The growing need for sedation and/or analgesia
for the diagnosis and therapeutic procedures overburden
the anaesthetist physicians. Guidelines for physicians
from other specialties who wish to sedate the patients
safely and at high quality are required. There is a wide
variation in the selection criteria and in the techniques
used for the preparation, monitoring and management of
children requiring sedation for diagnostic and
therapeutic procedures. A survey done in 268 Scottish
hospital departments revealed that, although the sedation
of children was undertaken by one in four departments,
only three had a protocol for paediatric sedation. This
suggests that despite the multiplicity of the published
guidelines for sedation in both adult and paediatric
specialties, these are not being applied consistently in
clinical paediatric practice.(1)The problem is of real
interest both internationally and in our country, because
there is no overspecialization for Pediatric Intensive Care
specialty. Also guidelines for safe sedation of paediatric
patients of age are not well structured.
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