دورية أكاديمية
Paediatric procedural sedation and analgesia by emergency physicians in a country with a recent establishment of emergency medicine.
| العنوان: | Paediatric procedural sedation and analgesia by emergency physicians in a country with a recent establishment of emergency medicine. |
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| المؤلفون: | Kuypers MI; Academic Medical Centre, Amsterdam.; Tergooi Hospital, Hilversum., Smits GJP; Department of Emergency., Baerends EP; Emergency Department, Westfriesgasthuis, Hoorn., Oskam E; Emergency Department, Albert Schweitzer Hospital, Dordrecht., Reijners EPJ; Emergency Department, St Elisabeth Hospital, Tilburg., Mignot-Evers LAA; Emergency Department, Maxima Medisch Centrum, Veldhoven., Thijssen WAMH; Department of Emergency., Plötz FB; Department of Paediatrics, Tergooi Hospital, Blaricum, The Netherlands., Korsten EHM; Anaesthesiology, Intensive Care and Pain, Catharina Hospital.; Technical University, Eindhoven. |
| المصدر: | European journal of emergency medicine : official journal of the European Society for Emergency Medicine [Eur J Emerg Med] 2019 Jun; Vol. 26 (3), pp. 168-173. |
| نوع المنشور: | Journal Article; Multicenter Study; Observational Study |
| اللغة: | English |
| بيانات الدورية: | Publisher: Lippincott Williams & Wilkins Country of Publication: England NLM ID: 9442482 Publication Model: Print Cited Medium: Internet ISSN: 1473-5695 (Electronic) Linking ISSN: 09699546 NLM ISO Abbreviation: Eur J Emerg Med Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: London : Lippincott Williams & Wilkins Original Publication: London, UK : Chapman & Hall, 1994- |
| مواضيع طبية MeSH: | Analgesia/*methods , Conscious Sedation/*methods , Emergency Service, Hospital/*organization & administration , Pain Management/*methods, Adolescent ; Child ; Child, Preschool ; Confidence Intervals ; Emergency Medicine/organization & administration ; Female ; Humans ; Male ; Netherlands ; Pediatrics/methods ; Practice Patterns, Physicians' ; Propofol/therapeutic use ; Prospective Studies ; Risk Assessment ; Treatment Outcome |
| مستخلص: | 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. |
| المشرفين على المادة: | YI7VU623SF (Propofol) |
| تواريخ الأحداث: | Date Created: 20171215 Date Completed: 20191210 Latest Revision: 20191217 |
| رمز التحديث: | 20221213 |
| DOI: | 10.1097/MEJ.0000000000000524 |
| PMID: | 29240569 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1473-5695 |
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| DOI: | 10.1097/MEJ.0000000000000524 |