Risks of sedating infants
In addition to understanding the current medical and surgical problems, the sedationist should assess the child's growth, previous sedation or anaesthesia, and the drug history.
The examination should identify any physical abnormalities, particularly those of the airway.
When a child will not cooperate, it is tempting to increase the dose.
In most techniques, for an individual child, it is not possible to be certain what dose or doses can cause deep sedation.
Conscious sedation requires patience, skill, time, and in many circumstances the child has to cooperate during the procedure.
Provided the sedation failure rate is sufficiently small, the time investment may be worthwhile and anaesthesia resources can be saved.
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This article summarizes the principles and practice of effective conscious sedation techniques for common diagnostic and therapeutic procedures in children.
The pain of some procedures may be brief and patients may be vulnerable to delayed respiratory depressant effects of potent opioids.
The type of drug that can be used safely by non-anaesthetists is controversial.
While the idea of "going under" may worry you, the risks of anesthesia are pretty low these days.
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As a matter of fact, not only have errors become relatively uncommon, but experts say anesthesia is one of the safest areas of health care today.Where anaesthesia services are not available, ‘specialist’ drug techniques have been used by non-anaesthetists in the UK.
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