Sedation and analgesia for procedures in the pediatric emergency room

Objective: Children and adolescents often require sedation and analgesia in emergency situations. With the emergence of new therapeutic options, the obsolescence of others, and recent discoveries regarding already known drugs, it became necessary to review the literature in this area. Data sources:...

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Main Authors: Carlos Eduardo Ramalho, Pedro Messeder Caldeira Bretas, Claudio Schvartsman, Amélia Gorete Reis
Format: Article
Language:Portuguese
Published: Brazilian Society of Pediatrics 2017-11-01
Series:Jornal de Pediatria (Versão em Português)
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2255553617301507
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author Carlos Eduardo Ramalho
Pedro Messeder Caldeira Bretas
Claudio Schvartsman
Amélia Gorete Reis
author_facet Carlos Eduardo Ramalho
Pedro Messeder Caldeira Bretas
Claudio Schvartsman
Amélia Gorete Reis
author_sort Carlos Eduardo Ramalho
collection DOAJ
description Objective: Children and adolescents often require sedation and analgesia in emergency situations. With the emergence of new therapeutic options, the obsolescence of others, and recent discoveries regarding already known drugs, it became necessary to review the literature in this area. Data sources: Non‐systematic review in the PubMed database of studies published up to December 2016, including original articles, review articles, systematic reviews, and meta‐analyses. References from textbooks, publications from regulatory agencies, and articles cited in reviews and meta‐analyses through active search were also included. Data synthesis: Based on current literature, the concepts of sedation and analgesia, the necessary care with the patient before, during, and after sedoanalgesia, and indications related to the appropriate choice of drugs according to the procedure to be performed and their safety profiles are presented. Conclusions: The use of sedoanalgesia protocols in procedures in the pediatric emergency room should guide the professional in the choice of medication, the appropriate material, and in the evaluation of discharge criteria, thus assuring quality in care.
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spelling doaj.art-e602453094b8416695ed7b32b239905b2022-12-22T02:44:01ZporBrazilian Society of PediatricsJornal de Pediatria (Versão em Português)2255-55362017-11-0193S121810.1016/j.jpedp.2017.05.006Sedation and analgesia for procedures in the pediatric emergency roomCarlos Eduardo Ramalho0Pedro Messeder Caldeira Bretas1Claudio Schvartsman2Amélia Gorete Reis3Universidade de São Paulo (USP), Faculdade de Medicina, Hospital das Clínicas, Instituto da Criança, São Paulo, SP, BrasilUniversidade de São Paulo (USP), Faculdade de Medicina, Hospital das Clínicas, Instituto da Criança, São Paulo, SP, BrasilUniversidade de São Paulo (USP), Faculdade de Medicina, Departamento de Pediatria, São Paulo, SP, BrasilUniversidade de São Paulo (USP), Faculdade de Medicina, Hospital das Clínicas, Instituto da Criança, São Paulo, SP, BrasilObjective: Children and adolescents often require sedation and analgesia in emergency situations. With the emergence of new therapeutic options, the obsolescence of others, and recent discoveries regarding already known drugs, it became necessary to review the literature in this area. Data sources: Non‐systematic review in the PubMed database of studies published up to December 2016, including original articles, review articles, systematic reviews, and meta‐analyses. References from textbooks, publications from regulatory agencies, and articles cited in reviews and meta‐analyses through active search were also included. Data synthesis: Based on current literature, the concepts of sedation and analgesia, the necessary care with the patient before, during, and after sedoanalgesia, and indications related to the appropriate choice of drugs according to the procedure to be performed and their safety profiles are presented. Conclusions: The use of sedoanalgesia protocols in procedures in the pediatric emergency room should guide the professional in the choice of medication, the appropriate material, and in the evaluation of discharge criteria, thus assuring quality in care.http://www.sciencedirect.com/science/article/pii/S2255553617301507Conscious sedationDeep sedationAnalgesiaChildEmergency serviceEmergency medicine
spellingShingle Carlos Eduardo Ramalho
Pedro Messeder Caldeira Bretas
Claudio Schvartsman
Amélia Gorete Reis
Sedation and analgesia for procedures in the pediatric emergency room
Jornal de Pediatria (Versão em Português)
Conscious sedation
Deep sedation
Analgesia
Child
Emergency service
Emergency medicine
title Sedation and analgesia for procedures in the pediatric emergency room
title_full Sedation and analgesia for procedures in the pediatric emergency room
title_fullStr Sedation and analgesia for procedures in the pediatric emergency room
title_full_unstemmed Sedation and analgesia for procedures in the pediatric emergency room
title_short Sedation and analgesia for procedures in the pediatric emergency room
title_sort sedation and analgesia for procedures in the pediatric emergency room
topic Conscious sedation
Deep sedation
Analgesia
Child
Emergency service
Emergency medicine
url http://www.sciencedirect.com/science/article/pii/S2255553617301507
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AT claudioschvartsman sedationandanalgesiaforproceduresinthepediatricemergencyroom
AT ameliagoretereis sedationandanalgesiaforproceduresinthepediatricemergencyroom