Paediatric Sedation

Question 1

what are some key points that should apply to the patient during sedation?

Answer 1

• remains conscious
• retains protective reflexes
• understands & responds to verbal commands

Question 2

what anxiety tool is commonly used in paediatrics?

Answer 2

MCDASf
- modified child dental anxiety scale
- score from 9 (no anxiety) to 45 (extreme anxiety/phobia)
- >31 severe DFA/ phobia

Question 3

what type of sedation is commonly used for paediatric patients?

Answer 3

inhalation sedation

Question 4

is inhalation sedation suitable for extreme anxiety?

Answer 4

no, do a GA or midazolam sedation

Question 5

what are some signs that you should stop administering inhalation sedation?

Answer 5

• child reports tingling
• child starts giggling/over-excited
• stop if ears ringing or sore head

Question 6

what is used instead of midazolam in paediatrics for IV sedation?

Answer 6

propofol