Mazen Alexan Shasha
Rotorua Public Hospital, New Zealand
Title: Procedural sedation for pediatric patients: where are we now? our experience
Biography
Biography: Mazen Alexan Shasha
Abstract
Introduction: We are presenting the pros and cons of procedural sedations in ED and discussing indications, medications and side effect; also presenting the data and outcome of all our procedural sedation for children in our department from past 2 years.
Aim: Our aim is to review all the cases done in our emergency department under procedural sedation for the past 2 years; and to find how well we are doing in performing procedural sedations in children. We looked at improving our services and reducing undesirable outcomes.
Methods: We retrospectively collected all the data on pediatric procedural sedations. We collected data regarding age groups, procedures performed, medications used and side effects
Results: 470 cases of procedural sedations were performed in our department, 255 cases out of these were paediatric cases. 156 cases were orthopaedic procedures. Only 13 minor complications were encountered. We compared types of sedative agents we used and associated side effects
Conclusion: Procedural sedation is safe and a timely quick solution for a wide variety of minor procedures to be done in operation theatres. Due to thorough involvement of all our Emergency Dept. Consultants, we developed a very safe protocol and environment to perform procedural sedations. After analysing the data collected, we concluded that, side effects were minimal with no effect on the procedures and there are a wide variety of different procedures performed. Satisfaction rate from patients and families was very high.