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PedsCrit
Natural Airway Sedation with Pradip Kamat, Part 2
Aug 19, 2021
Pradip Kamat, expert in natural airway sedation, discusses the importance of procedural sedation for pediatric intensivists, drug selection, safety considerations, and patient selection. The podcast also covers factors to consider in pediatric procedural sedation, anesthesia referral, sedating children in an outpatient setting, and distraction techniques for pediatric procedures.
19:27
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Quick takeaways
- Different procedures require different drugs for sedation, such as propofol or dexmedetomidine for non-invasive procedures and fentanyl or chusachenyl caramine for painful procedures.
- Patient selection for outpatient sedation should consider factors like previous sedation experiences, invasiveness of the procedure, and specific health conditions, collaborating with anesthesiologists when necessary.
Deep dives
Choosing the Appropriate Drug for Procedural Sedation
When considering the appropriate drug for procedural sedation, it's important to assess whether the procedure is non-invasive and painless, or invasive and painful. For non-invasive procedures requiring only immobility, drugs like propofol or dexmeditatomine may be used. Painful procedures may require analgesic agents like fentanyl or chusachenyl caramine. Additionally, there are distressing procedures that require anxiolysis, such as placement of a urinary catheter or an IV, for which medications like midazolam or nitrous oxide can be used.
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