The Pre-sedation Assessment and Implications on Management
Fig. 4.1 CT of the abdomen without administration of oral contrast in a fasting 2-year-old child in supine position. CT shown in axial (A) plane. Note fluid (labeled “F”) and…
PEDIATRICS
The Pediatric Hospital Medicine Service: Models, Protocols, and Challenges
94 % Opioid/benzodiazepine combination 70 % Chloral hydrate 51 % Ketamine 46 % Pentobarbital 16 % Propofol 6 % Nitrous oxide Table 13.2 Location of sedations [2] 86 % Inpatient…
Sedation Scales and Discharge Criteria: How Do They Differ? Which One to Choose? Do They Really Apply to Sedation?
Fig. 5.1 A working model of pediatric sedation. The x-axis is the time of phase of sedation. The y-axis is the depth of sedation, ranging from inadequate to oversedation. A…
Billing and Reimbursement for Sedation Services in the United States
99143 Moderate sedation services, provided by the same physician performing the diagnostic or therapeutic service that the sedation supports, requiring the presence of an independent trained observer to assist in…
The Pharmacology and Clinical Application of Sedatives, Analgesics, and Adjuncts
16. Pringle B, Dahlquist LM, Eskenazi A. Memory in pediatric patients undergoing conscious sedation for aversive medical procedures. Health Psychol. 2003;22(3):263–9.PubMed 17. Henry DW, Burwinkle JW, Klutman NE. Determination of…
Procedural Sedation: Let’s Review the Basics
Code cart Defibrillator Emergency airway equipment • Face masks • Self-inflating bag-valve-mask setup • Oro- and nasopharyngeal airways • Laryngeal mask airways (LMAs) • Laryngoscope handles and blades • Endotracheal tubes and stylettes Oxygen source May…
Sedation Policies, Recommendations, and Guidelines Across the Specialties and Continents
Brief: <10 min Intermediate: 10–20 min Extended: >20 min In 2004 and 2008, the ACEP published evidence-based guidelines on the use of specific medications for use in pediatric sedation: “Clinical…
Educational Issues: The Impact of Cancer in the Classroom
Physical Attendance impacted by fatigue, nausea/vomiting Potential mobility issues in the school Susceptibility to infection Social-emotional Concerns related to body image, such as hair loss, limb loss, scars Reduced opportunity…
Assessing Family Psychosocial Risks in Pediatric Cancer
Fig. 4.1 Screening in a social ecological context Timely screening for multifaceted family psychosocial risk is a means by which treatment needs and follow-up care for the patient and family…
Ethics in Pediatric Oncology
Condition Explanation There is no medically equivalent histocompatible adult relative who is willing and able to donate An adult will be better able to understand the rationale for donation, the…
