Risks of sedating a toddler
Risks of sedating a toddler - Adult avenue 1
For this reason, it is important for all practitioners to understand the complexities of the sedation process, including the sedation safety standards, the issues addressed during the pre-sedation evaluation, the risks and benefits of some commonly used sedatives and analgesics, and the importance of the discharge process.
Exposure to infectious diseases should be recorded.
Administering sedatives to children to facilitate performing therapeutic or diagnostic procedures is a growing practice in hospital and outpatient settings.
Procedures for which sedatives are given include diagnostic imaging studies, laceration repair, foreign body removal, spinal taps, and orthopaedic procedures.
In addition to being prepared for airway and cardiovascular emergencies, the qualified sedation practitioner must ensure: For the purposes of initiating monitoring and for providing the necessary personnel, all patients should be considered deeply sedated until they have demonstrated a stable lesser level of sedation.
Patients who fulfill moderate sedation criteria may then be monitored at that level of intensity until they recover.
Rather, patients are to be sedated and then continuously evaluated with respect to their actual (not intended) level of consciousness, presence or absence of protective reflexes, and response to painful stimuli.
Based on such continuous evaluation, the patient is described as being in one of the following states of sedation: 1) anxiolysis, 2) mild sedation, 3) moderate sedation, 4) deep sedation, 5) general anesthesia.The cardiovascular assessment should elicit information about congenital heart defects, heart murmurs, presence of a pacemaker, previous cardiovascular surgical procedures, cyanosis, fatigue, and failure of growth.Neurological evaluation includes notation of shunts, neurological abnormalities and seizure disorder.(See Table 1 for equipment that must be present in the sedation area for all levels of sedation.) Before sedatives are administered, the designated practitioner must be onsite and must have interviewed and examined the patient.No sedatives can be given at home or in transit to the facility where a procedure will be performed.At least 1 day prior, the family must be informed about pre-sedation requirements, the sedation process itself, the recovery process, the possibility of an overnight stay, and the post-sedation care requirements.