Sedating affect

Posted by / 27-Jul-2020 12:05

Sedating affect

Search terms included “sedation”, and “analgesia”, “pediatric”, “child”, “neonate”, “brain”, “developmental disabilities”, “neurologic”, “autism”, “epilepsy”, “seizure”, “stroke”, “hydrocephalus”, “traumatic brain injury”, “intracranial hemorrhage”, “hypoxia-ischemia”, and “encephalopathy” and the period of search was from 1960–2010.The authors are pediatric neurocritical care specialists and have extensive clinical experience caring for pediatric patients with developmental disabilities and neurologic disorders and research experience in experimental animal models of pediatric neurologic injury.This database has provided vital information to define the frequency and nature of adverse events during pediatric sedation from a multispecialty perspective [3].Large PSRC studies have shown a relatively low risk to pediatric sedation by practitioners other than anesthesiologists [4].The American Academy of Pediatrics, Section on Anesthesiology has published Guidelines for the Pediatric Perioperative Anesthesia Environment, which includes suggestions for age categorization, need for intensive care following sedation for recovery, and presence of coexisting disease [1].Since these guidelines were published, sedation outside of the operating room continues to increase, along with the varied practitioner’s disciplines that are delivering sedation.

So what are the actual added risks associated with sedation of the pediatric patient with developmental disabilities or neurologic disorders?Unfortunately, extensive studies have not been performed to identify specific patients at risk and aid in the development of evidence-based clinical protocols for patients with neurologic pathology and developmental disabilities.Most reported experience refers to scattered case reports of specific syndromes (Butler et al.The overall objectives of this paper are (1) to provide an overview on recent studies that highlight the increased risk for respiratory complications following sedation and analgesia in children with developmental disabilities and neurologic disorders, (2) to provide a better understanding of sedatives and analgesic medications which are commonly used in children with developmental disabilities and neurologic disorders on the central nervous system.With advances in health care, many children with developmental disabilities and neurologic disorders are living longer lives, and increasingly require diagnostic and therapeutic interventions.

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With this practice increasing, the debate about safety and the practitioner core competency requirements to provide sedation and/or analgesia to the complex pediatric patient with developmental disabilities and neurologic disorders has also increased and several policy statements have been published by different professional societies [2], with no clear evidence of practice standards and incidence of adverse outcomes.