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Text
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URL Address
<a href="http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=9928685" target="_blank" rel="noreferrer">http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=9928685</a>
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Title
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Pediatric sedation with analgesia
Publisher
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American Journal of Emergency Medicine
Date
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1999
Subject
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Child; Intensive Care Units; Analgesics; Drug Therapy; Time Factors; Clinical Protocols; Anesthetics; Pediatric; Preschool; infant; Comparative Study; retrospective studies; Human; Opioid/therapeutic use; Adolescence; Fentanyl/therapeutic use; Combination; Propofol/therapeutic use; Analgesia/adverse effects/methods; Conscious Sedation/adverse effects/methods; Intravenous/therapeutic use
Creator
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Bauman L; Kish I; Baumann RC; Politis GD
Description
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Sedation with analgesia is frequently required to perform painful or invasive procedures in children. The best medication combination for pediatric sedation with analgesia is yet to be identified. Sixty-four of 243 total sedation with analgesia procedures from January 1994 through August 1995 were randomly chosen for descriptive retrospective review and analysis. Four minor complications from the procedures were identified, and recovery was complete in all cases. One medication combination (fentanyl 1 microg/kg with propofol 1.5 to 2 mg/kg, followed by an infusion of 150 microg/kg/min) provided the shortest mean time to dismissal (17.8 minutes v 38 minutes) when compared with other combinations used. No episodes of respiratory depression, hypotension, or nausea and vomiting occurred in the fentanyl/propofol group. These results show that fentanyl/propofol was superior to other medications used during this study period for pediatric sedation with analgesia. Prospective comparison of this medication combination with other short-acting agents in patients undergoing both elective and emergency procedures is necessary.
1999
Rights
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Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
Type
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Journal Article
1999
Adolescence
American Journal of Emergency Medicine
Analgesia/adverse effects/methods
Analgesics
Anesthetics
Backlog
Bauman L
Baumann RC
Child
Clinical Protocols
Combination
Comparative Study
Conscious Sedation/adverse effects/methods
Drug Therapy
Fentanyl/therapeutic use
Human
Infant
Intensive Care Units
Intravenous/therapeutic use
Journal Article
Kish I
Opioid/therapeutic use
Pediatric
Politis GD
Preschool
Propofol/therapeutic use
Retrospective Studies
Time Factors