paediatric sedation Flashcards
What is important in history taking in paediatric sedation?
Patients pain levels
Nature of anxiety
DH
MH
What can be used to assess a child’s anxiety levels?
Modified child dental anxiety scale (MCDASf)
What are the different patient factors for paediatric sedation?
The child’s understanding, cooperation and coping style
What are the methods of pain and anxiety management in children?
Non-pharmacological behavioural management (NPBM)
LA
Sedation
GA
What are the types of paediatric sedation?
Inhalation
Intravenous
Alternative - oral and transmucosal
What can aid delivering LA in children?
Behavioural management
Hypnosis and relaxation techniques
CBT
Using the wand
Give 4 indications for IS in children
Any from:
- age, must be able to sit in chair and breathe through nose with mouth open
- mild/moderate anxiety
- good management of gag reflex
- if child has mild asthma
- if treatment is needed in multiple quadrants
Give 4 contraindications to IS in children
Any from:
- age, can’t understand concept or can’t breathe through nose with mouth open
- high anxiety level
- intellectual impairments
- nasal blockage
- previous unsuccessful IS
What should you do during IS treatment with children?
Keep talking to the patient
Ensure child avoids mouth breathing
Maximum when child reports tingling or starts giggling/becomes over excited
Stop if childs ears are ringing or sore head
Give 4 indications for IV sedation in children
Any from:
- age, around 12 and above, no hard age limits
- no/mild anxiety
- helpful for children with asthma
- previous difficult dental experiences
- high volume of treatment needed
Give 4 contra-indications for IV sedation in children
Any from:
- age - children under 12
- anxiety/needle anxiety
- intellectual impairment
- psychiatric disorders
- if the child likes to monitor the dental treatment
What is TCI?
Target controlled infusion
Administered by anaesthetist
Mean rapid onset and recovery
