Objectives: Paediatric patients receive less procedural sedation and analgesia (PSA) in the emergency department compared with adults, especially in countries where emergency medicine is at an early stage of development. The objectives of this study were to evaluate the adverse events and efficacy of paediatric PSA in a country with a recent establishment of emergency medicine and to describe which factors aided implementation. Methods: This is a prospective, multicentre, observational study of paediatric patients undergoing PSA by the first trained emergency physicians (EPs) in The Netherlands. A standardized data collection form was used at all participating hospitals to collect data on adverse events, amnesia, pain scores, and procedure completion. A survey was used to interpret which factors had aided PSA implementation. Results: We recorded 351 paediatric PSA. The mean age was 9.5 years (95% confidence interval: 9.1-10.0). Esketamine was most frequently used (42.4%), followed by propofol (34.7%). The adverse event rate was low (3.0%). Amnesia was present in 86.8%. The median pain score was 2 (out of 10) for patients without amnesia. Procedures were successfully completed in 93.9% of the cases. Conclusion: Paediatric PSA provided by the first EPs in The Netherlands showed appropriate levels of sedation and analgesia with a high rate of procedure completion and a low rate of adverse events. Our paper suggests that EPs provided with a proper infrastructure of mentorship, training and guidelines can implement effective paediatric PSA. Copyright (C) 2017 Wolters Kluwer Health, Inc. All rights reserved.
from Emergency Medicine via xlomafota13 on Inoreader http://ift.tt/2BqAJtN
Εγγραφή σε:
Σχόλια ανάρτησης (Atom)
Δημοφιλείς αναρτήσεις
-
Abstract Introduction In recent years, platelet-rich plasma (PRP) has emerged as a promising autologous biological treatment modality fo...
-
The American Journal of Emergency Medicine from Emergency Medicine via xlomafota13 on Inoreader http://ift.tt/2fpeT0d
-
What is the future made of ? ( Hint: "Free" Healt-Care from pregnancy - Grave. "Free" Edukation, From pre school to uni...
-
Learn the basics on how to use the Emergency Response Guidebook (ERG). from EMS via xlomafota13 on Inoreader http://ift.tt/2wMDm75
-
Acta Anaesthesiologica Scandinavica from Emergency Medicine via xlomafota13 on Inoreader http://ift.tt/2vr9MUC
-
If a disaster hits your community, will you be prepared? Are your leaders asking the right questions and taking the right steps to make sur...
-
Abstract This article on alternative markers of performance in simulation is the product of a session held during the 2017 Academic Emerge...
Δεν υπάρχουν σχόλια:
Δημοσίευση σχολίου