Sedation and/or analgesia are standard of care for pediatric patients during painful intervention or medical imaging requiring immobility. Physician availability is frequently insufficient to allow for all procedural sedation. A nurse-led sedation program was created at the Centre Hospitalier Universitaire de Sherbrooke (CHUS) to address this problem. Objective. To evaluate the effectiveness an...

STUDY OBJECTIVE Established fasting guidelines for analgesia and sedation are difficult to follow in the emergency department (ED), and the association between preprocedural fasting and adverse events has been questioned. We characterize the fasting status of patients receiving procedural sedation and analgesia with nitrous oxide (N2O) in a pediatric ED and assess the relationship between fasti...

Introduction: Pediatric procedural sedation (PPS) is widely used to facilitate diagnostic and therapeutic procedures outside the operating room. Effective sedation decreases anxiety, discomfort, and pain. In addition, children can be effectively immobilized without the psychological trauma of physical restraint, thereby increasing the success rate of the procedure or investigation performed. De...

OBJECTIVE To describe the clinical characteristics of a combination of midazolam and ketamine for procedural sedation and analgesia in adult emergency department (ED) patients. METHODS This was a prospective, observational trial, conducted in the ED of an urban level II trauma center. Patients > or = 18 years of age requiring procedural sedation and analgesia were eligible, and enrolled patie...

Procedural sedation may be needed in many diagnostic and therapeutic procedures in children. To make pediatric procedural sedation as safe as possible, protocols should be developed by institutions. Response to sedation in children is highly variable, while some become deeply sedated after minimal doses, others may need much higher doses. Child developmental status, clinical circumstances and c...

Management of children and adolescents with congenital heart disease during cardiac catheterization is a challenge for the attending anaesthetist. According to other diagnostic procedures such as CT-scan and MRT, it is not always necessary to perform general anaesthesia with intubation. The aim of the anaesthesiologic management is to facilitate cardiac catheterization under physiological condi...

BACKGROUND Procedural sedation in children continues to be a problem in the emergency department (ED). Midazolam is the first water-soluble benzodiazepine and it has been widely used for procedural sedation in pediatric patients. OBJECTIVES The aim of this study was evaluation of clinical safety and effectiveness of intramuscular Midazolam for pediatric sedation in the ED setting. MATERIALS...