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An Pediatr (Barc). 2018 Jul;89(1):24-31. doi: 10.1016/j.anpedi.2017.06.006. Epub 2017 Jul 24.

[Preparation of sedation-analgesia procedures in spanish paediatric emergency departments: A descriptive study].

[Article in Spanish]

Author information

1
Servicio de Urgencias Pediátricas, Hospital General Universitario Gregorio Marañón, Madrid, España.
2
Servicio de Urgencias Pediátricas, Hospital General Universitario Gregorio Marañón, Madrid, España. Electronic address: nik.oik87@gmail.com.

Abstract

INTRODUCTION:

The objective of this study was to describe the current practice regarding the preparation of the sedation-analgesia (SA) procedures performed in the paediatric emergency centres in Spain.

MATERIAL AND METHODS:

A multicentre, observational and prospective analytical study was carried out on the SA procedures that were performed on children under 18 years-old in 18 paediatric emergency departments between February 2015 and January 2016.

RESULTS:

A total of 658 SA procedures were registered in 18 hospitals of Spain, most of them to children older than 24 months. The type of the procedure was: simple analgesia in 57 (8.6%), sedation in 44 (6.7%), SA for a not very painful procedure in 275 (41.8%), and SA for a very painful procedure in 282 (42.9%). Informed consent was requested in 98.6% of the cases. The written form was more frequently preferred in the group of patients that received SA for a very painful procedure (76.6%) in comparison to a painful procedure or to simple analgesia (62.9% and 54.4%, respectively, P<.001). The staff that most frequently performed the SA procedures were the paediatricians of the emergency departments (64.3%), followed by Paediatrics Residents (30.7%). The most frequent reasons for the SA were traumatological (35.9%) and surgical (28.4%). Fasting was observed in 81% of the cases. More than two-thirds (67.3%, n=480) children were monitored, the majority (95.8%) of them using pulse oximetry. The pharmacological strategy used was the administration of one drug in 443 (67.3%) of the cases, mostly nitrous oxide, and a combination of drugs in 215 (32.7%), especially midazolam/ketamine (46.9%).

CONCLUSION:

The majority of the SA procedures analysed in this study have been carried out correctly and prepared in accordance with the current guidelines.

KEYWORDS:

Consentimiento informado; Estudio multicéntrico; Informed consent; Monitoring; Monitorización; Multicentre study; Paediatric emergencies; Procedimientos de sedoanalgesia; Sedation-analgesia procedures; Urgencias pediátricas

PMID:
28750729
DOI:
10.1016/j.anpedi.2017.06.006
[Indexed for MEDLINE]
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