|Author||: Associate Professor of Anesthesiology and Pediatrics Cheryl K Gooden,Director Division of Pediatric Critical Care Medicine Lia Lowrie,Benjamin F. Jackson|
|Publisher||: Oxford University Press, USA|
|Release Date||: 2018-11-16|
|ISBN 10||: 0190659114|
|Pages||: 512 pages|
The Pediatric Procedural Sedation Handbook provides a comprehensive but concise review of the essential information needed to allow for the safe practice of pediatric procedural sedation. Written by a group of multidisciplinary authors, this text explores the fundamentals of sedation, procedural sedation, special patient considerations, diagnostic and therapeutic procedures, and more. Each chapter offers a starting point and suggestions for further in-depth study of all aspects of providing safe, effective, multidisciplinary-team based sedation care for children undergoing testing and procedures outside of an operating room setting. Appendices providing medication dosing and delivery route suggestions complement the text and can be used for quick reference. This book is a must-read for any clinician involved in modern, team-based patient-centered care, including physicians, nurses, dentists, and child life specialists. Editors and authors are members of the Society of Pediatric Sedation, a multidisciplinary society dedicated to the advance of pediatric sedation by promoting safe, high quality care, innovative research, and quality professional education.
|Pages||: 329 pages|
Objective: To quantify the number of personnel, time to induce and complete sedation using propofol for outpatient magnetic resonance imaging (MRI) of the brain, and the frequency of serious adverse events (SAEs) in children with autism spectrum disorder (ASD) compared with children without ASD. Results: Baseline characteristics were the same between both groups. Overall sedation success was 99%. Although most children were sedated with ≤3 providers, 10% with ASD needed ≥4 providers (P = .005). The duration of sedation was less for the ASD group compared with the non-ASD group (49 minutes vs 56 minutes, P = .005). There was no difference in SAE frequency between groups (ASD 14% vs non-ASD 16%, P = .57). Conclusion: Children with ASD can be sedated for brain MRI using propofol with no increased frequency of SAEs compared with children without ASD. Sedation teams should anticipate that 10% of children with ASD may need additional personnel before propofol induction.
In retrospect, the dosage of IV sedatives used in the early days of endoscopy both in the USA and Great Britain was frequently too high. Today we are much more careful in the way we sedate patients being acutely aware of the fact that if the patient becomes unresponsive and verbal contact is lost then, by definition, a general anaesthetic has just been administered with all the clinical and legal implications that this holds. This expertly written book examines all aspects of conscious sedation and will be an essential reference for nurses and other health professionals involved in the clinical care of patients undergoing diagnostic or therapeutic procedures that require conscious sedation. Each chapter covers a particular area of the practice of conscious sedation and the authors come from a wide spectrum of clinical specialities.
TERMINAL SEDATION DURING THE 1990s During the 1990s a discussion took place in scholarly journals concerning a measure within palliative care that had earlier attracted little attention, to wit, the sedation of dying patients. There seem to have been two main reasons why the practice came under debate. On the one hand, some people felt that, when palliative medicine had advanced and methods to control symptoms had improved, it was no longer justified to sedate the patients in a manner that had often been done in the past. The system of 1 terminal sedation had turned into ‘euthanasia in disguise’ or ‘slow euthanasia’. On the other hand, there were people sympathetic to the recently established Dutch system of euthanasia, people who agreed that terminal sedation was euthanasia in disguise, but who felt that, if it is not objectionable to sedate dying patients at their request, then why should it not be permitted for doctors to kill dying patients at 2 request? From these two motives a discussion about terminal sedation gained momentum. The intention behind this anthology is to continue and deepen this discussion. The anthology starts off with a chapter where an influential article from the 1990s has been reprinted.
|Author||: A. Judie|
|Publisher||: Elsevier India|
|Release Date||: 2018-09-18|
|ISBN 10||: 8131253368|
|Pages||: 1300 pages|
Wong's Essentials of Pediatric Nursing: Second South Asian Edition
Nitrous oxide and oxygen sedation is a reliable and efficient method of relieving pain, fear, and apprehension in patients undergoing dental and minor surgical procedures. This book is designed to meed the needs of dental and other health care professionals using this method of sedation.
|Author||: Niels Bjorn Jorgensen,Jess Hayden|
|Release Date||: 1980|
|Pages||: 299 pages|
|Release Date||: 2001|
|Pages||: 9 pages|