What is it about?
The management of acute pain and anxiety in children undergoing diagnostic and therapeutic procedures has developed substantially in the past two decades. An increase in the numbers of investigations and non-surgical interventions in children has created an enormous demand for sedation services. Procedural sedation and analgesia for children is now widely practiced by a various group of the specialists.
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Why is it important?
The goal of procedural sedation is the safe and effective control of pain, anxiety and motion as well as to provide an appropriate degree of memory loss or decreased awareness. Short acting, rapid onset drugs with little adverse effects and improved safety profiles are replacing outdated regimens. This article is to discuss the decision making process used to determine appropriate drug selection, dosing and sedation endpoint. It also reviews the current status of sedation and analgesia for pediatric procedures in a developing country.
Perspectives
In the setting of developing country, PPSA can be safely and effectively performed with a multi-drug IV regimen utilizing anesthetic personnel with appropriate basic monitoring. However, comprehensive pre-procedure evaluation and proper patient selection and preparation as well as availability of skilled professionals for sedation administration are key components to provision of quality patient care. Additionally, the physician must always be prepared to rescue patients who move to a deeper level of sedation.
Professor Somchai Amornyotin
Department of Anesthesiology, Faculty of Medicine Siriraj Hospital, Mahidol University
Read the Original
This page is a summary of: Pediatric Sedation and Analgesia in a Developing Country, Journal of Anesthesia & Clinical Research, January 2011, OMICS Publishing Group,
DOI: 10.4172/2155-6148.s12-001.
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