Sedation Flashcards
What type of sedation should be performed mainly in children?
Inhalational
SIGN, GDC
When is inhalational sedation indicated ?
Anxious but compliant children
understand the procedure
can nasal breathe
want treatment
Why is inhaltional sedation succeful in kids?
children are suggestible (easlily influcned) and NO enhances this
Children easily day dream and NO can guide this
How succesful is inhaltional sedation?
50-90% success rate
best in ortho extractions
worst in emergency pt
What alternative techniques are there to inhaltional sedation in kids?
IV propofol
BDZ Oral and transmucosal sedation
What are the problems with using IV sedation with BZD in kids?
This can cause paradoxical reactions and they also have a narrow therapeutic index
When would you use IV sedation with either propfol or midazolam?
in those under 16 as an alternative technique
Which other drugs can you combine with midazolam in IV sedation?
M + fentanyl
M + ketamin
M + alfentanyl and ketamine
to be used above the age of 5
How effective is midazolam or midazolam and ketamine in oral sedation and trans mucosal sedation?
Does work but mainly on ortho and not pain
When should you refer children for sedation to consulatant level?
for those that are under the age of 12 and whose sedtion cannot be managed by combining oygen and No or midazolam alone.
What is the effect of sevofluorane NO and oxygen ?
Good but not to be used without a consultant
