Emergency Medicine Cases Episode 76 Pediatric Procedural Sedation
Feb 9, 2016
Dr. Amy Drendel, a leader in pediatric pain management from the Children's Hospital of Wisconsin, shares her expertise on managing procedural sedation in kids. She covers pain relief strategies for emergency scenarios like fractures and scans, emphasizing the use of intranasal fentanyl and nitrous oxide. Dr. Drendel discusses the advantages of IV Ketamine over IM and the importance of family presence during sedation. She also explores advancements like ketofol and highlights safety considerations, ensuring pain-free experiences for young patients.
AI Snips
Chapters
Transcript
Episode notes
Pain Management Before Sedation
- For severe acute pain from fractures, use intranasal fentanyl for quick analgesia and anxiety relief.
- For mild to moderate pain, start with oral analgesics like ibuprofen or oral opioids as a bridge before sedation.
Family Presence During Sedation
- Allow family at bedside initially to help reduce child's anxiety during procedural sedation.
- Have family step out when child is sedated for fracture reduction to avoid distraction and facilitate procedure.
Airway Preparation for Kids
- Prepare thoroughly for airway management considering children’s anatomy and risk of airway obstruction.
- Have suction and oxygen ready and position yourself to intervene promptly if airway issues arise.