Procedural Pediatric Sedation by Nurses : Available, Competent, and Safe
Joint Authors
Vezina, Catherine
Paul-Savoie, Emilie
Cyr, Claude
Lavoie, Laetiscia
Lafrenaye, Sylvie
Source
International Journal of Pediatrics
Issue
Vol. 2012, Issue 2012 (31 Dec. 2012), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2012-04-10
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
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 and the safety of our program.
Methods.
A retrospective study of all the procedural sedations done over one year was performed.
Complications were separated in four categories: (1) major complications (call for help; unexpected admission, aspiration, and code); (2) reportable sedation events (oxygen saturation <90%, bradycardia (more than 2 SD below normal for the age of the child), and hypotension (more than 2 SD below normal for the age of the child); (3) difficult sedation (agitation, inadequate sedation, and failure to perform the procedure), (4) minor complications.
Results.
448 patients, 249 boys and 199 girls; received sedation for 555 procedures.
Overall, 78% (432) of interventions were successfully accomplished: 0% of major complications, 8% of reportable sedation events; 5% of difficult sedation; 9% of minor complications.
Conclusion.
Our nurse-led sedation program compares favorably to other similar systems.
American Psychological Association (APA)
Lavoie, Laetiscia& Vezina, Catherine& Paul-Savoie, Emilie& Cyr, Claude& Lafrenaye, Sylvie. 2012. Procedural Pediatric Sedation by Nurses : Available, Competent, and Safe. International Journal of Pediatrics،Vol. 2012, no. 2012, pp.1-5.
https://search.emarefa.net/detail/BIM-500728
Modern Language Association (MLA)
Lavoie, Laetiscia…[et al.]. Procedural Pediatric Sedation by Nurses : Available, Competent, and Safe. International Journal of Pediatrics No. 2012 (2012), pp.1-5.
https://search.emarefa.net/detail/BIM-500728
American Medical Association (AMA)
Lavoie, Laetiscia& Vezina, Catherine& Paul-Savoie, Emilie& Cyr, Claude& Lafrenaye, Sylvie. Procedural Pediatric Sedation by Nurses : Available, Competent, and Safe. International Journal of Pediatrics. 2012. Vol. 2012, no. 2012, pp.1-5.
https://search.emarefa.net/detail/BIM-500728
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-500728