{Reference Type}: Journal Article
{Title}: [Preparation of sedation-analgesia procedures in spanish paediatric emergency departments: A descriptive study].
{Author}: Míguez Navarro C;Oikonomopoulou N;Lorente Romero J;Vázquez López P; ;
{Journal}: An Pediatr (Engl Ed)
{Volume}: 89
{Issue}: 1
{Year}: Jul 2018
暂无{DOI}: 10.1016/j.anpedi.2017.06.006
{Abstract}: <B>BACKGROUND: </B>The objective of this study was to describe the current practice regarding the preparation of the sedation-analgesia (SA) procedures performed in the paediatric emergency centres in Spain.<BR><B>METHODS: </B>A multicentre, observational and prospective analytical study was carried out on the SA procedures that were performed on children under 18 years-old in 18 paediatric emergency departments between February 2015 and January 2016.<BR><B>RESULTS: </B>A total of 658 SA procedures were registered in 18 hospitals of Spain, most of them to children older than 24 months. The type of the procedure was: simple analgesia in 57 (8.6%), sedation in 44 (6.7%), SA for a not very painful procedure in 275 (41.8%), and SA for a very painful procedure in 282 (42.9%). Informed consent was requested in 98.6% of the cases. The written form was more frequently preferred in the group of patients that received SA for a very painful procedure (76.6%) in comparison to a painful procedure or to simple analgesia (62.9% and 54.4%, respectively, P<.001). The staff that most frequently performed the SA procedures were the paediatricians of the emergency departments (64.3%), followed by Paediatrics Residents (30.7%). The most frequent reasons for the SA were traumatological (35.9%) and surgical (28.4%). Fasting was observed in 81% of the cases. More than two-thirds (67.3%, n=480) children were monitored, the majority (95.8%) of them using pulse oximetry. The pharmacological strategy used was the administration of one drug in 443 (67.3%) of the cases, mostly nitrous oxide, and a combination of drugs in 215 (32.7%), especially midazolam/ketamine (46.9%).<BR><B>CONCLUSIONS: </B>The majority of the SA procedures analysed in this study have been carried out correctly and prepared in accordance with the current guidelines.