Procedural Pediatric Sedation by Nurses: Available, Competent, and Safe
Sedation and/or analgesia are standard of care for pediatric patients during painful intervention or medical imaging requiring immobility. Physician availability is frequently insufficient to allow for all procedural sedation. A nurse-led sedation program was created at the Centre Hospitalier Univer...
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| Format: | Article |
| Language: | English |
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Wiley
2012-01-01
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| Series: | International Journal of Pediatrics |
| Online Access: | http://dx.doi.org/10.1155/2012/820209 |
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| _version_ | 1832551654109478912 |
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| author | Laetiscia Lavoie Catherine Vezina Emilie Paul-Savoie Claude Cyr Sylvie Lafrenaye |
| author_facet | Laetiscia Lavoie Catherine Vezina Emilie Paul-Savoie Claude Cyr Sylvie Lafrenaye |
| author_sort | Laetiscia Lavoie |
| collection | DOAJ |
| description | Sedation and/or analgesia are standard of care for pediatric patients during painful intervention or medical imaging requiring immobility. Physician availability is frequently insufficient to allow for all procedural sedation. A nurse-led sedation program was created at the Centre Hospitalier Universitaire de Sherbrooke (CHUS) to address this problem. Objective. To evaluate the effectiveness and the safety of our program. Methods. A retrospective study of all the procedural sedations done over one year was performed. Complications were separated in four categories: (1) major complications (call for help; unexpected admission, aspiration, and code); (2) reportable sedation events (oxygen saturation <90%, bradycardia (more than 2 SD below normal for the age of the child), and hypotension (more than 2 SD below normal for the age of the child); (3) difficult sedation (agitation, inadequate sedation, and failure to perform the procedure), (4) minor complications. Results. 448 patients, 249 boys and 199 girls; received sedation for 555 procedures. Overall, 78% (432) of interventions were successfully accomplished: 0% of major complications, 8% of reportable sedation events; 5% of difficult sedation; 9% of minor complications. Conclusion. Our nurse-led sedation program compares favorably to other similar systems. |
| format | Article |
| id | doaj-art-2440a455cb1b492ca01c8fba2b289190 |
| institution | Kabale University |
| issn | 1687-9740 1687-9759 |
| language | English |
| publishDate | 2012-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | International Journal of Pediatrics |
| spelling | doaj-art-2440a455cb1b492ca01c8fba2b2891902025-02-03T06:00:52ZengWileyInternational Journal of Pediatrics1687-97401687-97592012-01-01201210.1155/2012/820209820209Procedural Pediatric Sedation by Nurses: Available, Competent, and SafeLaetiscia Lavoie0Catherine Vezina1Emilie Paul-Savoie2Claude Cyr3Sylvie Lafrenaye4Department of Pediatrics, Faculty of Medicine and Health Sciences, Université de Sherbrooke, 3001, 12 Avenue Nord, Sherbrooke, QC, J1H 5N4, CanadaDepartment of Hemato-Oncology, McGill University Health Centre, Montreal, QC, H3H 2R9, CanadaDepartment of Pediatrics, Faculty of Medicine and Health Sciences, Université de Sherbrooke, 3001, 12 Avenue Nord, Sherbrooke, QC, J1H 5N4, CanadaDepartment of Pediatrics, Faculty of Medicine and Health Sciences, Université de Sherbrooke, 3001, 12 Avenue Nord, Sherbrooke, QC, J1H 5N4, CanadaDepartment of Pediatrics, Faculty of Medicine and Health Sciences, Université de Sherbrooke, 3001, 12 Avenue Nord, Sherbrooke, QC, J1H 5N4, CanadaSedation and/or analgesia are standard of care for pediatric patients during painful intervention or medical imaging requiring immobility. Physician availability is frequently insufficient to allow for all procedural sedation. A nurse-led sedation program was created at the Centre Hospitalier Universitaire de Sherbrooke (CHUS) to address this problem. Objective. To evaluate the effectiveness and the safety of our program. Methods. A retrospective study of all the procedural sedations done over one year was performed. Complications were separated in four categories: (1) major complications (call for help; unexpected admission, aspiration, and code); (2) reportable sedation events (oxygen saturation <90%, bradycardia (more than 2 SD below normal for the age of the child), and hypotension (more than 2 SD below normal for the age of the child); (3) difficult sedation (agitation, inadequate sedation, and failure to perform the procedure), (4) minor complications. Results. 448 patients, 249 boys and 199 girls; received sedation for 555 procedures. Overall, 78% (432) of interventions were successfully accomplished: 0% of major complications, 8% of reportable sedation events; 5% of difficult sedation; 9% of minor complications. Conclusion. Our nurse-led sedation program compares favorably to other similar systems.http://dx.doi.org/10.1155/2012/820209 |
| spellingShingle | Laetiscia Lavoie Catherine Vezina Emilie Paul-Savoie Claude Cyr Sylvie Lafrenaye Procedural Pediatric Sedation by Nurses: Available, Competent, and Safe International Journal of Pediatrics |
| title | Procedural Pediatric Sedation by Nurses: Available, Competent, and Safe |
| title_full | Procedural Pediatric Sedation by Nurses: Available, Competent, and Safe |
| title_fullStr | Procedural Pediatric Sedation by Nurses: Available, Competent, and Safe |
| title_full_unstemmed | Procedural Pediatric Sedation by Nurses: Available, Competent, and Safe |
| title_short | Procedural Pediatric Sedation by Nurses: Available, Competent, and Safe |
| title_sort | procedural pediatric sedation by nurses available competent and safe |
| url | http://dx.doi.org/10.1155/2012/820209 |
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