Procedural Sedation in Paediatric Practice
Journal Title: Journal of Advances in Medicine and Medical Research - Year 2015, Vol 9, Issue 9
Abstract
Introduction: Providing sedation techniques during the performance of diagnostic and therapeutic procedures on children decreases anxiety and discomfort. A number of drugs are available for the purpose. A retrospective record study in Paediatrics department of Burdwan Medical College & Hospital showed oral triclofos and per rectal diazepam were the two commonly used drugs for the purpose. However, intranasal midazolam is claimed to be a near ideal agent for procedural sedation. So, the above study was to compare efficacy and safety of intranasal midazolam over oral triclofos and per rectal diazepam. Methods: Participants having ASA score I or II having age group 1 to 6 years requiring non-invasive or minimally invasive procedure were divided into three groups- one group received oral triclofos sodium, second group received per rectal diazepam and third group received intranasal midazolam spray prior to the procedure. Levels of sedation and recovery were scored using Ramsey sedation score and modified Aldrete scoring system respectively. Induction of sedation was defined as attainment of Ramsey sedation score of at least 3. Complete recovery was defined as a minimum score of 10 of modified Aldrete scoring system. Results: Both times of induction and recovery were significantly higher in triclofos group when compared to other two groups. Level of sedation attained was higher in per rectal diazepam group, although there was no case of over sedation. Adverse effects were comparable except for nasal irritation which was exclusively limited to midazolam group. Cost of therapy was higher with intranasal midazolam therapy than with per rectal diazepam therapy. Conclusion: Per rectal diazepam appear to be a more ideal drug for procedural sedation over intranasal midazolam and oral triclofos.
Authors and Affiliations
Uttam Kumar Roy, Shanwer Harlalka, Tarak Nath Ghosh, Prashanth Kumar, Supreeti Biswas
Keywords
Related Articles
- EP ID EP347850
- DOI 10.9734/BJMMR/2015/18944
- Views 54
- Downloads 0
Serum Levels of Vitamin E and β-carotene in Relation to Sex and Medical Status in a Population from North Jordan
Aim: The aim of this study is to assess whether serum vitamin E (α-tocopherol) and β-carotene are affected (or not) by different medical conditions such as hypertension, diabetes, smoking, and pregnancy. Methodology: Tot...
A New Centrifugation Method for the Improvement of Platelet-rich Fibrin Products: A Preliminary Study
Introduction: Nowadays, there are many articles about Platelet Rich Plasma/Platelet Rich Fibrin families. A novel platelet-rich product called titanium prepared platelet-rich fibrin (T-PRF) has stronger and thicker fibri...
Clinical Tests to Determine the Correct Position of Central Venous Catheter in Overweight Patients in Critically Ill Condition
Objective: To demonstrate the utility of clinical test to determine the correct placement of the CVC in overweight patients in critical condition. Methods: Cross-sectional Study carried out in the Intensive Care Unit o...
Direct Esthetic Resin Restorations of Anterior Coronal Fractures: A Case Report
Replacing tooth structure that is lost due to trauma to the anterior teeth remains a challenge to the restorative dentist. The restorations must not only be able to withstand masticatory forces and stress but also be est...
Assessing the Prevalence of Hypertension and Obesity among Diabetics in the Tamale Metropolis, Ghana
Aims: The study assessed the prevalence of hypertension and obesity and their associated risk factors among diabetics in the Tamale Metropolis. Study Design: Cross-sectional study. Place and Duration of Study: Diabetic...