Anxiety in Children Undergoing VCUG : Sedation or No Sedation?
Author
Source
Issue
Vol. 2008, Issue 2008 (31 Dec. 2008), pp.1-12, 12 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2008-07-03
Country of Publication
Egypt
No. of Pages
12
Main Subjects
Abstract EN
Background.
Voiding cystourethrograms are distressing for children and parents.
Nonpharmacological methods reduce distress.
Pharmacological interventions for VCUG focus on sedation as well as analgesia, anxiolysis, and amnesia.
Sedation has cost, time, and safety issues.
Which agents and route should we use? Are we sure that sedation does not influence the ability to diagnose vesicoureteric reflux? Methods.
Literature search of Medline, EMBASE, and the Cochrane Database.
Review of comparative studies found.
Results.
Seven comparative studies including two randomised controlled trials were reviewed.
Midazolam given orally (0.5-0.6 mg/kg) or intranasally (0.2 mg/kg) is effective with no apparent effect on voiding dynamics.
Insufficient evidence to recommend other sedating agents was found.
Deeper sedating agents may interfere with voiding dynamics.
Conclusion.
Midazolam reduces the VCUG distress, causes amnesia, and does not appear to interfere with voiding dynamics.
Midazolam combined with simple analgesia is an effective method to reduce distress to children undergoing VCUG.
American Psychological Association (APA)
Herd, David W.. 2008. Anxiety in Children Undergoing VCUG : Sedation or No Sedation?. Advances in Urology،Vol. 2008, no. 2008, pp.1-12.
https://search.emarefa.net/detail/BIM-476524
Modern Language Association (MLA)
Herd, David W.. Anxiety in Children Undergoing VCUG : Sedation or No Sedation?. Advances in Urology No. 2008 (2008), pp.1-12.
https://search.emarefa.net/detail/BIM-476524
American Medical Association (AMA)
Herd, David W.. Anxiety in Children Undergoing VCUG : Sedation or No Sedation?. Advances in Urology. 2008. Vol. 2008, no. 2008, pp.1-12.
https://search.emarefa.net/detail/BIM-476524
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-476524