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PedsCrit

Natural Airway Sedation with Pradip Kamat, Part 3

Aug 26, 2021
Topics discussed in this podcast include natural airway sedation for pediatric intensivists, procedural sedation versus general anesthesia, safety considerations and risk factors, patient and drug selection, appropriate monitoring, and rescue medications. Additionally, the podcast explores practical sedation scenarios such as sedating a three-year-old for an MRI and comparing ketamine to propofol and fentanyl for sedation. They also touch on the use of nitrous oxide for urinary catheter placement.
18:40

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Quick takeaways

  • Thoroughly reviewing the patient's medical chart and obtaining informed consent are crucial steps before performing sedation.
  • Direct observation, monitoring of vital signs, and the use of entitled capnography are important during sedation to detect complications and ensure patient safety.

Deep dives

Key Point 1: Preparation for Sedation

Before performing sedation, it is crucial to review the patient's medical chart for any previous sedation or anesthesia encounters. A thorough history is taken, including information on allergies, medications, recent illnesses, and fasting. A physical examination, with a focus on the airway, is conducted. Informed consent is obtained from the family, and all necessary equipment and medications, such as a sedation reversal kit, are prepared.

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