Comparison of sedation outcome according to the dose of chloral hydrate in children requiring laceration repair
Pediatric Emergency Medicine Journal
;
: 92-96, 2017.
Article
in Korean
| WPRIM
| ID: wpr-225122
ABSTRACT
PURPOSE:
To compare the sedation outcome according to the dose of per os chloral hydrate in children who underwent laceration repair in the emergency department (ED).METHODS:
This retrospective study was performed to the children who underwent sedation using chloral hydrate for laceration repair in the ED from January 2015 through November 2015. A total of 370 children aged younger than 6 years underwent the sedation. We compared the induction time, duration of sedation, and ED length of stay (EDLOS) between the single dose (50 mg/kg) and additional dose (plus 25 mg/kg) groups.RESULTS:
Of 370 children, 335 (90.5%) were sedated successfully, 284 (76.8%) were sedated with initial dose (the single dose group), and 51 (13.8%) were sedated with additional dose (the additional dose group). The induction time and EDLOS were longer in the additional dose group (induction time 31.0 ± 17.2 minutes vs. 96.2 ± 25.4 minutes, P < 0.001; EDLOS 137.2 ± 35.5 minutes vs. 193.0 ± 36.0 minutes, P < 0.001). The duration of sedation showed no difference between the 2 groups (44.4 ± 24.0 minutes vs. 42.0 ± 20.8 minutes; P = 0.500). No one had serious adverse reactions.CONCLUSION:
Additional dose of chloral hydrate can increase the induction time and EDLOS without increasing the duration of sedation and causing serious adverse reactions. This information may improve the efficiency of ED workflow when shared with parents of the children.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Parents
/
Chloral Hydrate
/
Retrospective Studies
/
Conscious Sedation
/
Lacerations
/
Emergency Service, Hospital
/
Length of Stay
Type of study:
Observational study
Limits:
Child
/
Humans
Language:
Korean
Journal:
Pediatric Emergency Medicine Journal
Year:
2017
Type:
Article
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