RESUMEN
Successful completion of diagnostic and therapeutic orthopaedic procedures in children requires a high level of cooperation and pain control. This article provides a framework for safe and effective sedation of children undergoing such procedures. Following the definition of levels of sedation, the dynamics of the three phases of sedation (pre, intra, and post) are described. Specific sedative-analgesic agents, monitoring, and transport are discussed. Finally, the art of working with children who require sedation is outlined.
Asunto(s)
Sedación Consciente/métodos , Sedación Consciente/enfermería , Enfermería Ortopédica , Enfermería Pediátrica/métodos , Niño , Preescolar , Sedación Consciente/efectos adversos , Sedación Consciente/instrumentación , Monitoreo de Drogas/métodos , Monitoreo de Drogas/enfermería , Humanos , Evaluación en Enfermería/métodos , Padres/educación , Atención Dirigida al Paciente , Transporte de Pacientes/métodosRESUMEN
The purpose of this study was to determine if a pediatric sedation program improved head magnetic resonance imaging (MRI) scan success rates and procedure duration times compared with the year preceding the program. Sedation was successful in 189 (85.1%) of 222 children before the program compared with 211 (98.1%) of 215 children during the program (P < 0.001). Mean procedure duration times for head MRI scans with and without contrast were shorter in the program compared with before the program (58.7 +/- 1.4 min versus 71.8 +/- 3.0 min, P < 0.001, and 46.7 +/- 1.2 min versus 58.5 +/- 1.9 minutes, P < 0.001, respectively). No major complications occurred during the 15-month period in the sedation program. We conclude that sedation for pediatric MRI, managed by an organized pediatric sedation program, is highly successful, efficient, and safe.