2010, Número 2
<< Anterior Siguiente >>
Rev Invest Clin 2010; 62 (2)
Eficacia de la sedación en procedimientos ambulatorios realizados por residentes de pediatría
Morales-Sauceda HN, de-la-O-Cavazos ME, González-Cordero G, Elizondo-Omaña R, Guzmán-López S, Torres-Vega IA
Idioma: Español
Referencias bibliográficas: 21
Paginas: 109-114
Archivo PDF: 53.37 Kb.
RESUMEN
Objetivo. Determinar la eficacia de la sedación en procedimientos
ambulatorios realizados por residentes de pediatría.
Material y métodos. Es un estudio observacional, analítico,
transversal en pacientes que requirieron la realización de
procedimientos diagnósticos y terapéuticos. Se recabaron los
datos en el periodo del 1 de junio al 30 de septiembre del 2007
en el departamento de Pediatría. Se incluyeron a los pacientes
de un mes a 15 años que necesitaron ser sedados.
Resultados.
Se efectuaron 97 sedaciones, con una edad media de 3.5
años. Un 59.3% fueron masculinos y 40.7% femeninos. Se
realizaron 100% de los procedimientos, con 12.3% de efectos
adversos.
Conclusiones. Los procedimientos se efectuaron
con éxito, los residentes de Pediatría demostraron que tienen
la preparación requerida para sedar y revertir los efectos adversos.
REFERENCIAS (EN ESTE ARTÍCULO)
Hertzog JH, Havidich JE. Non-anesthesiologist-provided pediatric procedural sedation: an update. Curr Opin Anaesthesiol 2007; 20(4): 365-72.
Cravero JP, Blike GT. Pediatric sedation. Curr Opin Anaesthesiol 2004; 17: 247-51.
Cote CJ, Wilson S. Guidelines for monitoring and management of pediatric patients during and after sedation for diagnostic and therapeutic procedures: an update. Pediatrics 2006; 118: 2587-602.
Wood C, Hurley C, Wettlaufer J, Penque M, Shaha SH, Kathleen L. Retrospective comparison of emergency department length of stay for procedural sedation and analgesia by nurse practitioners and physicians. Pediatr Emerg Care 2007; 23: 709-12.
Gross JB, Bailey P, Connis R, Coté CJ, Davis FG, Epstein B, et al. Practice guidelines for sedation and analgesia by non-anesthesiologists. Anesthesiology 2002; 96: 1004-17.
Pino RM. The nature of anesthesia and procedural sedation outside of the operating room. Curr Opin Anaesthesiol 2007; 20(4): 347-51.
Gross JB, Bailey P, Caplan RA, Connis RT, Cote CJ, Davis FG. Practice guidelines for sedation and analgesia by non-anesthesiologist: a report by the American Society of Anesthesiologists task force on sedation and analgesia by non.anesthesiologists. Anesthesiology 1996; 84(2): 459-71.
Smally AJ, Nowicki TA. Sedation in the emergency department. Curr Opin Anaesthesiol 2007; 20: 379-83.
Cutler KO, Bush AJ,Godambe SA, Gilmore B. The use of a pediatric emergency medicine-staffed sedation service during imaging: a retrospective analysis. Am J Emerg Med 2007; 25: 654-61.
Pershad J, Gilmore B. Successful implementation of a radiology sedation service staffed exclusively by Pediatric Emergency Physicians. Pediatrics 2006; 117: 413-22.
Maher EN, Hansen SF, Heine M, Meers H, Yaster M, Hunt EA. Knowledge of procedural sedation and analgesia of emergency medicine physicians. Pediatr Emerg Care 2007; 23: 869-76.
Gorelick M, Nagler J, Losek JD, Bajaj L, Green SM, Luhmann J, et al. Pediatric sedation pearls. Clin Ped Emerg Med 2007; 8: 268-78.
Hoffman GM, Nowakowski TJ, Troshynski TJ, Berens RJ, Weisman SJ. Risk reduction in pediatric sedation by application of an American Academy of Pediatrics/American Society of Anesthesiologists process model. Pediatrics 2002; 109: 236-43.
Paspatis GA, Charoniti I, Manolakari M, Vardas E, Papanikolaou N, Anastasiadou A, et al. Synergistic sedation with oral midazolam as a premedication and intravenus propofol versus intravenus propofol alone in upper gastrointestinal endoscopies in children: a prospective, randomized study. JPGN 2006; 43: 195-9.
Mandel JE, Tanner JW, Lichtenstein G, Metz DC, Katzka DA, Ginsberg G, et al. A randomized, controlled, double-blind trial of patient-controlled sedation with propofol/remifentanil versus midazolam/fentanyl for colonoscopy. Anesth Anal 2008; 106: 434-9.
Sacchetti A, Stander E, Ferguson N, Maniar G, Valko P. Pediatric procedural sedation in the community emergency department: results from the ProSCED registry. Pediatr Emerg Care 2007; 23(4): 218-22.
Seigler RS, Avant MG, Gwyn DR, Lynch AL, Golding EM, Blackhurst DW, et al. A comparison of propofol and ketamine/ midazolam for intravenous sedation of children. Pediatr Crit Care Med 2001; 2: 20-3.
Frank LR, Strote J, Hauff SR, Bigelow SK, Fay K. Propofol by infusion protocol for ED procedural sedation. Am J Emerg Med 2006; 24: 599-602.
Breakey VR, Pirie J, Goldman RD. Pediatric and emergency medicine residents attitudes and practices for analgesia and sedation during lumbar puncture in pediatric patients. Pediatrics 2007; 119: 631-6.
Guenther E, Pribble CG, Junkins EP Jr, et al. Propofol sedation by emergency physicians for elective pediatric outpatient procedures. Ann Emerg Med 2003; 42: 783-91.
Barbi E, Gerarduzzi T, Marchetti F, et al. Deep sedation with propofol by nonanesthesiologists: a prospective pediatric experience. Arch Pediatr Adolesc Med 2003; 157: 1097-103.