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Recent News and Articles on the Keywords: children undergoing + safe sedation + sedation  Related to the article below (Last Update: 7/1/2008)

What's New in Pediatric Orthopaedics
Journal of Bone and Joint Surgery (subscription) - Jun 1, 2008
The Children's Hospital of Eastern Ontario Pain Scale score was no different between the axillary block group (6.4) and the deep sedation group (7.5), ...
Source: Google News

IV Nembutal: safe sedation for children undergoing CT. -
JD Strain, JB Campbell, LA Harvey, LC Foley - AJR Am J Roentgenol, 1988 - ncbi.nlm.nih.gov
1988 Nov;151(5):975-9. Click here to read IV Nembutal: safe sedation for children
undergoing CT. Strain JD, Campbell JB, Harvey LA, Foley LC. ...

Sedation and general anaesthesia in children undergoing MRI and CT: adverse events and outcomes -
S Malviya, T Voepel-Lewis, OP Eldevik, DT Rockwell … - British Journal of Anaesthesia, 2000 - British Jrnl Anaesthesia
... IV. Nembutal: safe inappropriate. In general, however, general anaesthesia sedation
for children undergoing CT. Am J Roentgenol 1988; 151: ...

Chloral hydrate sedation of children undergoing CT and MR imaging: safety as judged by American … -
A Vade, R Sukhani, M Dolenga, C Habisohn-Schuck - AJR Am J Roentgenol, 1995 - ncbi.nlm.nih.gov
... in a select group of children undergoing CT or ... 1-4 years old and 97% for children
less than 1 ... hydrate sedation provides effective and safe sedation in children ...

High-dose chloral hydrate sedation for children undergoing MR imaging: safety and efficacy in … -
SB Greenberg, EN Faerber, CL Aspinall, RC Adams - AJR Am J Roentgenol, 1993 - ncbi.nlm.nih.gov
... However, the low rate of adverse reactions makes chloral hydrate a safe
drug for sedation of children undergoing MR imaging. MeSH ...

… Intravenous Midazolam and Ketamine as Sedation for Therapeutic and Diagnostic Procedures in Children -
RI Parker, RA Mahan, D Giugliano, MM Parker - Pediatrics, 1997 - Am Acad Pediatrics
... regimen has been shown to be safe and effective in ... regimen can safely provide effective
sedation and analgesia for children undergoing diagnostic and ...

Is propofol safe for procedural sedation in children? A prospective evaluation of propofol versus … -
A Vardi, Y Salem, S Padeh, G Paret, Z Barzilay - Critical Care Medicine, 2002 - ccmjournal.com
... are effective in optimizing comfort in children undergoing painful procedures ... PL
anesthesia after procedural sedation was more ... PL, it is considered safe only in ...

[CITATION] Deep sedation with propofol in preschool children undergoing radiation therapy
G SCHEIBER, FC RIBEIRO, H KARPIENSKI, K STREHL - Pediatric Anesthesia, 1996 - Blackwell Synergy
... 14 Strain JD, Campbell JB, Harvey LA et al. Intravenous Nembutal: safe sedation
for children undergoing CT. Am ] Raentgenol 1988; 151: 975-979. ...

Sedation and Analgesia for Procedures in Children -
B Krauss, SM Green - New England Journal of Medicine, 2000 - content.nejm.org
... The management of acute pain and anxiety in children undergoing therapeutic and
diagnostic ... The goal of procedural sedation is the safe and effective control ...

Safety and efficacy of chloral hydrate sedation in children undergoing echocardiography. -
KL Napoli, CG Ingall, GR Martin - J Pediatr, 1996 - ncbi.nlm.nih.gov
... Chloral hydrate is a safe and effective agent for sedation of children with known
or suspected congenital heart disease who are undergoing echocardiography in ...

Depth of sedation in children undergoing computed tomography: validity and reliability of the … -
S Malviya, T Voepel-Lewis, AR Tait, S Merkel, K … - British Journal of Anaesthesia, 2002 - British Jrnl Anaesthesia
... the safe monitoring of the child. This study has evaluated the validity and reliability
of the UMSS as a measure of sedation in young children undergoing non ...

Source: Google Scholar
 

Is sedation safe for children undergoing dental procedures or medical tests like MRIs?

Generally, yes. But better monitoring of children during these procedures is essential, as the death last fall of a 5-year-old Chicago girl following sedation for dental work shows.

Late last year, shortly after the girl's death, two major groups, the American Academy of Pediatrics and the American Academy of Pediatric Dentistry, came out with joint guidelines that had long been in the works to make pediatric sedation safer.

The primary author of these, and previous, guidelines, Dr. Charles Coté , a pediatrician and anesthesiologist at Massachusetts General Hospital, said that the new guidelines represent "a huge step in the right direction." In part, he said, that's because they make clear that medical personnel administering sedation to children should follow the same rules whether the procedure takes place in a hospital or in a private medical or dental office.

Article continues below and (thank you)

 

The guidelines do not have the force of law, but many states use the guidelines in creating laws governing practice.

Children often need drugs to reduce anxiety, provide pain relief, or reduce movement during normal dental procedures such as filling a cavity, and some medical tests, like MRIs. The problem, said Coté , is that a child may become more deeply sedated than the doctor or dentist intended and therefore must be monitored very carefully until fully awake.

The new guidelines make clear that the person doing the procedure must have "advanced airway training" (be able to clear an obstruction in a child's airway and, if necessary, be able to pump air into a child's lungs with a bag and mask) and use a pulse oximeter to check oxygen levels in the blood as well as other measures to make sure the child is breathing, said Dr. Stephen Wilson, a spokesman for the American Academy of Pediatric Dentistry and chairman of the division of pediatric dentistry at Cincinnati Children's Hospital Medical Center.

Parents should ask their child's dentist or doctor if he or she follows the new guidelines, which are available at aapd.org.

JUDY FOREMAN

Please e-mail health questions to Foreman@globe.com.

 
 
 
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