Optimal Initial Dose of Chloral Hydrate in Management of Pediatric Facial Laceration
Archives of Plastic Surgery
;
: 40-44, 2014.
Article
in English
| WPRIM
| ID: wpr-153626
ABSTRACT
BACKGROUND:
Chloral hydrate (CH) is the primary agent most commonly used for pediatric sedation prior to diagnostic, therapeutic procedures. In the management of pediatric facial laceration, the initial dose of CH has to balance the need for adequate sedation against the need to minimize sedative complications.METHODS:
A retrospective review of medical records of 834 children who visited our emergency room for facial lacerations from August 2010 to September 2012 was conducted. They were divided into six groups on the basis of the initial dose of CH administered. Further, each group was compared with the standard group (70 to < or =80 mg/kg) with respect to sedation success, augmentation dose, failed sedation, time to procedure, and time of stay.RESULTS:
With respect to the complication rate, only group 1 (range, 40 to < or =50 mg/kg) showed a significantly lower complication rate. In the case of all the other variables considered, there were no significant differences among any of the groups.CONCLUSIONS:
An initial CH dose of 48+/-2 mg/kg does not negatively affect the success rate of sedation or the need for additional sedative during the primary closure of facial lacerations in pediatric patients. Further, lower doses reduce the incidences of adverse effects and do not delay procedure readiness. Therefore, 48+/-2 mg/kg of CH can be considered the optimal initial dose for pediatric sedation.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Sutures
/
Chloral Hydrate
/
Medical Records
/
Incidence
/
Retrospective Studies
/
Conscious Sedation
/
Lacerations
/
Emergency Service, Hospital
Type of study:
Incidence study
/
Observational study
/
Prognostic study
Limits:
Child
/
Humans
/
Infant
Language:
English
Journal:
Archives of Plastic Surgery
Year:
2014
Type:
Article
Similar
MEDLINE
...
LILACS
LIS